Provider Demographics
NPI:1609359561
Name:BEERS, AUDREY E (CPM, CDM)
Entity Type:Individual
Prefix:MS
First Name:AUDREY
Middle Name:E
Last Name:BEERS
Suffix:
Gender:F
Credentials:CPM, CDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 NEIL DR APT 21
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-6624
Mailing Address - Country:US
Mailing Address - Phone:907-521-0482
Mailing Address - Fax:
Practice Address - Street 1:1817 JESSUP DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2550
Practice Address - Country:US
Practice Address - Phone:866-218-5769
Practice Address - Fax:866-218-5769
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK136164176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife