Provider Demographics
NPI:1780323980
Name:ABLES, BRECKLEN (CPM)
Entity type:Individual
Prefix:
First Name:BRECKLEN
Middle Name:
Last Name:ABLES
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:BRECKLEN
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1817 JESSUP DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2550
Mailing Address - Country:US
Mailing Address - Phone:866-218-5769
Mailing Address - Fax:866-218-8576
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:866-218-8576
Is Sole Proprietor?:No
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMWR.0000214176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife