Provider Demographics
NPI:1891578373
Name:MARTINEZ TENREIRO, SANDRA VALERIA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:VALERIA
Last Name:MARTINEZ TENREIRO
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24516 E POWERS AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-3898
Mailing Address - Country:US
Mailing Address - Phone:039-021-8653
Mailing Address - Fax:
Practice Address - Street 1:8181 E TUFTS AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2579
Practice Address - Country:US
Practice Address - Phone:303-872-7553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-17
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1645829163WM0705X
CO0999557363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical