Individual
LINDA LEIGH DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1900 BOISE AVE, SUITE 240, LOVELAND, CO 80538-5004
(970) 493-1865
(970) 493-1586
Mailing address
1627 E 18TH ST, LOVELAND, CO 80538-4209
(970) 663-0135
(970) 461-1422
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
61438
CO
367A00000X
Advanced Practice Midwife
Primary
2172
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07614381
—
CO
01
—
61438
RN LICENSE
CO
01
—
RXN-09936
MEDICAID RX
CO
Enumeration date
11/07/2005
Last updated
04/29/2011
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