Brenda Griese
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Otis, CO
NPI 1265211536 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1265211536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 228 S Vine St
Otis, CO 80743-9241 - Phone
- (303) 359-7026
- NPI assigned
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
228 S Vine St
Otis, CO 80743-9241
Mailing address
228 S Vine St
Otis, CO 80743-9241
Phone (303) 359-7026
Other providers in Otis, CO
All providers in Otis, CO · Student in an Organized Health Care Education/Training Program in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.