Individual ProviderAmanda BrodeurStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address501 E Hampden Ave, Englewood, CO 80113-2702(303) 788-5000PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Brodeur does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:26 AM.Profile DetailsProvider ID1467194019Provider TypeIndividualFull NameBrodeur, AmandaCredentialDOGenderFemaleSole ProprietorNoEnumeration Date4/12/2022Last Updated4/22/2022Contact InformationPractice LocationPractice Address501 E Hampden Ave, Englewood, CO 80113-2702Phone(303) 788-5000FaxUnlisted FaxMailing LocationMailing Address3200 Brighton Blvd Unit 439, Denver, CO 80216-5065PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseTL.0009328Colorado