Individual
HALLEY EVERALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2030 MOUNTAIN VIEW AVE STE 400, LONGMONT, CO 80501-3182
(303) 315-0400
(303) 586-4591
Mailing address
3040 MCINTOSH DR, LONGMONT, CO 80503-1633
(720) 231-9201
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
RN.1632344
CO
367A00000X
Advanced Practice Midwife
Primary
APN.0995344-CNM
CO
Other
Enumeration date
02/04/2020
Last updated
02/21/2020
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