Provider Demographics
NPI:1508294935
Name:PACHECO-ESPINOZA, MICHELLE (BA)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:PACHECO-ESPINOZA
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:ESPINOZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11059 E. BETHANY DR.
Mailing Address - Street 2:STE. 200
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014
Mailing Address - Country:US
Mailing Address - Phone:303-617-2300
Mailing Address - Fax:303-617-2397
Practice Address - Street 1:11059 E. BETHANY DR.
Practice Address - Street 2:STE. 200
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014
Practice Address - Country:US
Practice Address - Phone:303-617-2300
Practice Address - Fax:303-617-2397
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator