Provider Demographics
NPI:1376261453
Name:MENA, CATERIN ADILENE
Entity Type:Individual
Prefix:
First Name:CATERIN
Middle Name:ADILENE
Last Name:MENA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 2ND ST
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-2203
Mailing Address - Country:US
Mailing Address - Phone:970-426-6010
Mailing Address - Fax:
Practice Address - Street 1:1313 2ND ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-2203
Practice Address - Country:US
Practice Address - Phone:970-426-6010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program