Individual
THEODORE TINNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 N PEARL ST APT 605, DENVER, CO 80203-4190
(303) 809-1261
Mailing address
130 N PEARL ST APT 605, DENVER, CO 80203-4190
(303) 809-1261
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R245581
MD
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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