Provider Demographics
NPI:1124746706
Name:BREMMER, CORINNE
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:BREMMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:
Other - Last Name:BREMMER FLEISHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3034 WILSON CT UNIT 2
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-4930
Mailing Address - Country:US
Mailing Address - Phone:720-662-6522
Mailing Address - Fax:
Practice Address - Street 1:3034 WILSON CT UNIT 2
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-4930
Practice Address - Country:US
Practice Address - Phone:720-662-6522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
4266-24374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula