Provider Demographics
NPI:1891454393
Name:BREZIN, MICHAELA ELIZABETH (RN)
Entity Type:Individual
Prefix:
First Name:MICHAELA
Middle Name:ELIZABETH
Last Name:BREZIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8214 WETHERILL CIR
Mailing Address - Street 2:
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-3635
Mailing Address - Country:US
Mailing Address - Phone:303-519-3822
Mailing Address - Fax:
Practice Address - Street 1:8214 WETHERILL CIR
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-3635
Practice Address - Country:US
Practice Address - Phone:303-519-3822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-12
Last Update Date:2021-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1654043163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse