Provider Demographics
NPI:1740356120
Name:WERNER, MARY BRAMLEY (CSFA)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:BRAMLEY
Last Name:WERNER
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 S COUNTY ROAD 157
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:CO
Mailing Address - Zip Code:80136
Mailing Address - Country:US
Mailing Address - Phone:303-622-9656
Mailing Address - Fax:303-622-9254
Practice Address - Street 1:6300 S COUNTY ROAD 157
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:CO
Practice Address - Zip Code:80136
Practice Address - Country:US
Practice Address - Phone:303-622-9656
Practice Address - Fax:303-622-9254
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO96941246Z00000X
CO94427246ZS0410X
CO1145246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist