Individual
KIMBERLY BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, MSN
Contact information
Practice address
1700 BROOKHAVEN CIR E APT E, FORT COLLINS, CO 80525-1184
(828) 778-1509
Mailing address
1700 BROOKHAVEN CIR E APT E, FORT COLLINS, CO 80525-1184
(828) 778-1509
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APN.1000596-CNM
CO
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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