Individual
MRS. COURTNEY BREAUX ELLENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
9195 GRANT ST STE 410, THORNTON, CO 80229-4388
(303) 280-2229
(303) 280-0765
Mailing address
9195 GRANT ST STE 410, THORNTON, CO 80229-4388
(303) 280-2229
(303) 280-0765
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APN.0004415-CNM
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98582232
—
CO
Enumeration date
10/12/2005
Last updated
09/06/2024
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