Individual
MR. THEODORE O TINDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, FNP, NP-C, CFRN
Contact information
Practice address
20270 E SMOKY HILL RD, CENTENNIAL, CO 80015-3138
(720) 386-0729
Mailing address
85 UINTA WAY UNIT 104, DENVER, CO 80230-7170
(303) 906-5805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0993280-NP
CO
Other
Enumeration date
02/16/2019
Last updated
02/16/2019
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