Patricia L. Berens
Physician Assistant in Pueblo, CO. Individual provider (NPI-1).
NPI number1770512469
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1770512469
- Entity type
- Individual (NPI-1)
- Name
- Patricia L. Berens
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 43 | CO | Yes |
Practice location
1600 W 24th StPueblo, CO 81003-1411
Phone 719-546-4157
Mailing address
1600 W 24th StPueblo, CO 81003-1411
Phone 719-546-4157
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