Individual
TAMMY MARIE BRUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
8223 W 20TH ST, GREELEY, CO 80634-3036
(970) 353-6000
(970) 353-6001
Mailing address
8223 W 20TH ST, GREELEY, CO 80634-3036
(970) 353-6000
(970) 353-6001
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
114327
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43902723
—
CO
Enumeration date
07/09/2006
Last updated
07/08/2007
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