Organization
BLUE SPRUCE BIRTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONYA GENINE LEGGE KONECNY CNM (CNM/OWNER)
(970) 699-5990
Entity
Organization
Contact information
Practice address
5803 MCWHINNEY BLVD, LOVELAND, CO 80538-8829
(970) 699-5990
(970) 699-5998
Mailing address
2110 BUFFALO MOUNTAIN PL, LOVELAND, CO 80538-8780
(970) 699-5990
(970) 699-5998
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000173512
—
CO
Enumeration date
12/17/2019
Last updated
12/17/2019
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