Provider Demographics
NPI:1861086852
Name:CESCHIN, AUDREY PAIGE (M ED)
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:PAIGE
Last Name:CESCHIN
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 ISABEL COURT P.O. BOX 4804
Mailing Address - Street 2:
Mailing Address - City:BUENA VISTA
Mailing Address - State:CO
Mailing Address - Zip Code:81211
Mailing Address - Country:US
Mailing Address - Phone:800-536-2340
Mailing Address - Fax:
Practice Address - Street 1:106 ISABEL COURT
Practice Address - Street 2:
Practice Address - City:BUENA VISTA
Practice Address - State:CO
Practice Address - Zip Code:81211
Practice Address - Country:US
Practice Address - Phone:800-536-2340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program