Individual
KRISTINA COLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
590 COUNTRY CLUB PKWY STE B, EUGENE, OR 97401-6025
(541) 686-2922
(541) 683-1709
Mailing address
133 PARK ST, MALONE, NY 12953-1244
(518) 483-3000
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
001763
NY
367A00000X
Advanced Practice Midwife
Primary
201606041NP-PP
OR
Other
Enumeration date
10/03/2016
Last updated
04/22/2020
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