Provider Demographics
NPI:1245443506
Name:MILLEN, CORI K (DO)
Entity type:Individual
Prefix:
First Name:CORI
Middle Name:K
Last Name:MILLEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CORI
Other - Middle Name:MILLEN
Other - Last Name:SCHNURR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:601 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 390
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3781
Mailing Address - Country:US
Mailing Address - Phone:720-336-4300
Mailing Address - Fax:720-833-9145
Practice Address - Street 1:601 E HAMPDEN AVE
Practice Address - Street 2:SUITE 390
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3781
Practice Address - Country:US
Practice Address - Phone:720-336-4300
Practice Address - Fax:720-833-0145
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2015-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO477872084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO03751562Medicaid