Provider Demographics
NPI:1457759706
Name:MABRY, BELINDA (CSFA)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:MABRY
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5885 ALLISON ST UNIT 1029
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80001-2645
Mailing Address - Country:US
Mailing Address - Phone:039-401-6133
Mailing Address - Fax:303-432-2595
Practice Address - Street 1:791 S JELLISON CT
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-4034
Practice Address - Country:US
Practice Address - Phone:575-313-9456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-17
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSA0001829246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty