Individual
LIZA DYLAN PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3303 N. BROADWAY ST., BOULDER, CO 80304-2241
(303) 449-6050
(303) 604-6243
Mailing address
1345 PLAZA COURT N., #1A, LAFAYETTE, CO 80026-2832
(303) 665-3036
(303) 604-6243
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
123793
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49424882
—
CO
Enumeration date
03/13/2007
Last updated
07/09/2008
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