Search › Colorado › 207Q00000X
Mikaela Fenn, MD
NPI 1083292817 · on the registry since 2021
Practice
- Address
- 1307 E. 7th Avenue
Pueblo, CO 81001 - Phone
- (719) 543-8711
- Fax
- (719) 543-0171
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado