Individual
MAREN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSM, CPM, RM
Contact information
Practice address
2021 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3840
(719) 761-7541
Mailing address
2021 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3840
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MWR.0000163
CO
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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