Individual
MRS. STACIE JONETTE MEREDITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED MIDWIFE
Contact information
Practice address
5415 WHITE PL, BOULDER, CO 80303-8114
(303) 642-5123
Mailing address
5415 WHITE PL, BOULDER, CO 80303-8114
(303) 642-5123
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
92
CO
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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