Provider Demographics
NPI:1730801382
Name:ORCHOWSKI, TAMI LEE
Entity type:Individual
Prefix:
First Name:TAMI
Middle Name:LEE
Last Name:ORCHOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7407 COLONIAL LN
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN
Mailing Address - State:CO
Mailing Address - Zip Code:80817-1300
Mailing Address - Country:US
Mailing Address - Phone:719-432-8298
Mailing Address - Fax:
Practice Address - Street 1:7407 COLONIAL LN
Practice Address - Street 2:
Practice Address - City:FOUNTAIN
Practice Address - State:CO
Practice Address - Zip Code:80817-1300
Practice Address - Country:US
Practice Address - Phone:719-432-8298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider