Organization
THIRTEENTH MOON MIDWIFERY
Active
Other names
13th Moon Midwifery
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ROEDOCKER (CNM/OWNER)
(970) 227-3555
Entity
Organization
Contact information
Practice address
2614 W VINE DR, FORT COLLINS, CO 80521-1504
(970) 227-3555
(970) 822-0455
Mailing address
2614 W VINE DR, FORT COLLINS, CO 80521-1504
(970) 227-3555
(970) 822-0455
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
RN118053
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10788263
—
CO
Enumeration date
07/16/2011
Last updated
11/24/2024
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