Provider Demographics
NPI:1356424261
Name:HREN, CATHIE JUNE (PA)
Entity type:Individual
Prefix:
First Name:CATHIE
Middle Name:JUNE
Last Name:HREN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2686 PATTERSON RD # 41
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-8817
Mailing Address - Country:US
Mailing Address - Phone:970-298-6918
Mailing Address - Fax:970-298-7520
Practice Address - Street 1:2686 PATTERSON RD # 41
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-8817
Practice Address - Country:US
Practice Address - Phone:970-298-6918
Practice Address - Fax:970-298-7520
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2151207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
COS87262Medicare UPIN
CO804064Medicare ID - Type Unspecified