Provider Demographics
NPI:1720566359
Name:BREEN, AMY (PA-C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:BREEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9403 CROWN CREST BLVD STE 200COLO
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8882
Mailing Address - Country:US
Mailing Address - Phone:303-230-0699
Mailing Address - Fax:303-320-0897
Practice Address - Street 1:9403 CROWN CREST BLVD STE 200COLO
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8882
Practice Address - Country:US
Practice Address - Phone:303-230-0699
Practice Address - Fax:303-320-0897
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2025-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COPA.0005452207Q00000X
COPA.5452363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine