Provider Demographics
NPI:1518276054
Name:VANBUREN, BETH JOAN (CNA)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:JOAN
Last Name:VANBUREN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6875 E ILIFF AVE
Mailing Address - Street 2:APT 439
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2546
Mailing Address - Country:US
Mailing Address - Phone:720-732-8867
Mailing Address - Fax:
Practice Address - Street 1:6875 E ILIFF AVE
Practice Address - Street 2:APT 439
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2546
Practice Address - Country:US
Practice Address - Phone:720-732-8867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI321098376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide