Individual
MS. SUSAN JILL MCCONAUGHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
10465 PARK MEADOWS DRIVE, SUITE 104, LONE TREE, CO 80124
(303) 799-7903
(303) 799-1222
Mailing address
10465 PARK MEADOWS DRIVE, SUITE 104, LONE TREE, CO 80124
(303) 799-7903
(303) 799-1222
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
64072
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07640725
—
CO
Enumeration date
10/20/2006
Last updated
06/26/2012
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