Provider Demographics
NPI:1811953441
Name:BEGIN, CHERYL L (CRNA)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:L
Last Name:BEGIN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:392 FAIRVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80424-8910
Mailing Address - Country:US
Mailing Address - Phone:719-429-1060
Mailing Address - Fax:
Practice Address - Street 1:392 FAIRVIEW BLVD
Practice Address - Street 2:
Practice Address - City:BRECKENRIDGE
Practice Address - State:CO
Practice Address - Zip Code:80424-8910
Practice Address - Country:US
Practice Address - Phone:719-429-1060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-22
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2952822367500000X
CO89709367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG1922OtherBCBS
FLG1922OtherBCBS
FLS11475Medicare UPIN