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Individual

MS. TERESA A ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM RN

Contact information

Practice address
3011 NORTH BROADWAY, SUITE 23, BOULDER, CO 80302
(303) 258-3904
Mailing address
POB 3111, NEDERLAND, CO 80466-3111
(303) 258-3904
(303) 258-3284

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
90674NUBURG
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02906746
CO
Enumeration date
08/30/2006
Last updated
07/08/2007
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