Provider Demographics
NPI:1699369272
Name:HANSEN-BREUER, CHERI MICHELLE
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:MICHELLE
Last Name:HANSEN-BREUER
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 1:10541 RACINE ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-6647
Mailing Address - Country:US
Mailing Address - Phone:406-239-4616
Mailing Address - Fax:
Practice Address - Street 1:10541 RACINE ST
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-6647
Practice Address - Country:US
Practice Address - Phone:406-239-4616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator