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NPI Code Detail

MEDICARE: CARSYN ELANA BRAZELL

MEDICARE: CARSYN ELANA BRAZELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianR-7175LA

General Provider Information

NPI Number : 1386214419
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARSYN ELANA BRAZELL
Provider Business Mailing Address
First Line : 120 EDGEVIEW DR APT 3403
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-8083
Country : US
Telephone Number : 337-693-9194
Fax Number :
Provider Business Practice Location Address
First Line : 9053 HARLAN ST STE 90
Second Line :
City : WESTMINSTER
State : CO
Zip : 80031-2908
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2021
Last Update Date : 06/30/2021

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Directions to “ CARSYN ELANA BRAZELL ” Practice Location

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