Individual
MS. KEIKO MARIE FOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1715 61ST AVE, GREELEY, CO 80634-7989
(970) 336-1500
(970) 336-1505
Mailing address
1715 61ST AVE, GREELEY, CO 80634-7989
(970) 336-1500
(970) 336-1505
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
93588
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62452037
—
CO
Enumeration date
05/26/2006
Last updated
06/05/2014
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