Individual
MRS. CHANTIELLE ANN BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-8277
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-8277
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
100157
MT
367A00000X
Advanced Practice Midwife
Primary
APN.0991537-CNM
CO
Other
Enumeration date
11/26/2014
Last updated
02/11/2025
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