Provider Demographics
NPI:1609349273
Name:CHEN, YENAN
Entity Type:Individual
Prefix:
First Name:YENAN
Middle Name:
Last Name:CHEN
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 1:8000 UPTOWN AVE # I-2065
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-4795
Mailing Address - Country:US
Mailing Address - Phone:970-690-3422
Mailing Address - Fax:
Practice Address - Street 1:8000 UPTOWN AVE # I-2065
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-4795
Practice Address - Country:US
Practice Address - Phone:970-690-3422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-07
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker