Ellena, Courtney Breaux

Ellena, Courtney Breaux is an individual health care provider with primary practice located at 9195 Grant St Ste 410 , Thornton CO 80229-4388. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Ellena, Courtney Breaux can be contacted via phone (303) 280-2229.

Contact Information

Primary practice address
9195 Grant St Ste 410 Thornton CO 80229-4388
Phone: (303) 280-2229
Fax: (303) 280-0765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APN.0004415-CNM

Profile Details

NPI number 1528056611
LBN Legal business name Ellena, Courtney Breaux
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 17th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528056611 NPPES
Colorado MEDICAID 98582232

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