Provider Demographics
NPI:1942195151
Name:POESCH, JESTENY-AMBER W
Entity type:Individual
Prefix:
First Name:JESTENY-AMBER
Middle Name:W
Last Name:POESCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JESTENY AMBER
Other - Middle Name:W
Other - Last Name:PASCUAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2075 OAKLAND ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80010-1615
Mailing Address - Country:US
Mailing Address - Phone:319-830-4890
Mailing Address - Fax:
Practice Address - Street 1:77 W FOREST AVE STE 304
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-1481
Practice Address - Country:US
Practice Address - Phone:928-214-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program