DR. Mikaela Rose Fenn, MD

NPI #1083292817 in Pueblo, Colorado

Provider Information

NPI Number: 1083292817
Entity Type: Individual
Name: DR. Mikaela Rose Fenn, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 1, 2021
Last Updated: Jul 23, 2024

Practice Location

Address: 1307 E. 7TH AVENUE
City: Pueblo
State: Colorado
ZIP Code: 81001
Phone: (719) 543-8711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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