Healthcare Provider Details

I. General information

NPI: 1811953441
Provider Name (Legal Business Name): CHERYL L BEGIN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2006
Last Update Date: 02/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

392 FAIRVIEW BLVD
BRECKENRIDGE CO
80424-8910
US

IV. Provider business mailing address

392 FAIRVIEW BLVD
BRECKENRIDGE CO
80424-8910
US

V. Phone/Fax

Practice location:
  • Phone: 719-429-1060
  • Fax:
Mailing address:
  • Phone: 719-429-1060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP2952822
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number89709
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: