Individual
SUSAN CZELUSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
408 SILVERMOON HTS, DIVIDE, CO 80814-9256
(501) 850-5514
Mailing address
408 SILVERMOON HTS, DIVIDE, CO 80814-9256
(501) 850-5514
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APN.0992514-CNM
CO
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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