Organization
ORIGIN BIRTH AND HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY RYAN CNM (MIDWIFE)
(720) 271-9445
Entity
Organization
Contact information
Practice address
3535 S LAFAYETTE ST STE 100, ENGLEWOOD, CO 80113
(303) 788-0600
(303) 788-0602
Mailing address
3535 S LAFAYETTE ST STE 100, ENGLEWOOD, CO 80113-3954
(303) 788-0600
(303) 484-5458
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
3918-CNM
CO
Other
Enumeration date
05/22/2017
Last updated
12/20/2018
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