DONALD DEE TIETSEMA

ALAMOSA, CO
NPI1447652409
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO  991309)
Additional Taxonomies163W00000X Registered Nurse
(Licence: MI  4704274155)
163W00000X Registered Nurse
(Licence: CO  1627153)
Enumeration Date2014-09-22
Last Update Date2021-02-11
Business Address
DONALD DEE TIETSEMA NP
8745 COUNTY ROAD 9 S
ALAMOSA, CO 81101-9610
Phone number: 719-589-3671
Mailing Address
DONALD DEE TIETSEMA NP
8745 COUNTY ROAD 9 S
ALAMOSA, CO 81101-9610
Phone number: 719-589-3671