Provider Demographics
NPI:1457464950
Name:BEER, MILENA CASTELLI (PA-C)
Entity Type:Individual
Prefix:
First Name:MILENA
Middle Name:CASTELLI
Last Name:BEER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 S. COLORADO BLVD
Mailing Address - Street 2:SUITE 220A
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1912
Mailing Address - Country:US
Mailing Address - Phone:303-584-8231
Mailing Address - Fax:866-210-0907
Practice Address - Street 1:9191 GRANT ST
Practice Address - Street 2:SUITE 418
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4361
Practice Address - Country:US
Practice Address - Phone:303-453-2237
Practice Address - Fax:303-453-2239
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0002866363AM0700X
VA0110002237363AM0700X
DCPA030428363AM0700X
CO2617363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO47534532Medicaid
COC810776Medicare PIN
COCO301724Medicare PIN