Individual
BRIDGET DIVANE
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
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
209019824
IL
367A00000X
Advanced Practice Midwife
Primary
APN.0995090-CNM
CO
Other
Enumeration date
10/08/2019
Last updated
10/29/2019
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