Individual provider · Type 1 NPI

Mikaela Rose Fenn, MD

Family Medicine Physician · Pueblo, CO

NPI number 1083292817 Active

Practice location

1307 E. 7th Avenue
Pueblo, CO 81001

Call (719) 543-8711 Map

Fax (719) 543-0171

Mailing address

110 E Routt Ave
Pueblo, CO 81004-2117

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Family Medicine Physician Primary	207Q00000X	0073570 (CO)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1083292817

Mikaela Rose Fenn, MD's National Provider Identifier is 1083292817, issued on Apr 1, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pueblo, CO. The record was last updated on Jul 23, 2024.