Provider Demographics
NPI:1407398647
Name:CECH, LENKA VYROUBALOVA (CNM)
Entity Type:Individual
Prefix:
First Name:LENKA
Middle Name:VYROUBALOVA
Last Name:CECH
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:LENKA
Other - Middle Name:
Other - Last Name:VYROUBALOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:2255 S ONEIDA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2522
Mailing Address - Country:US
Mailing Address - Phone:303-360-6276
Mailing Address - Fax:
Practice Address - Street 1:2109 SUMNER AVE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-3600
Practice Address - Country:US
Practice Address - Phone:360-532-8631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-04
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1617235163W00000X
COAPN.0992342-CNM367A00000X
WAAP61151481367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse