Individual
KATHRYN MARIE MANCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4700 LADY MOON DR UNIT C, FORT COLLINS, CO 80528-4426
(949) 701-1824
Mailing address
302 OSIANDER ST UNIT C, FORT COLLINS, CO 80524-4453
(949) 701-1824
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
95163742
CA
176B00000X
Midwife
235958
CA
367A00000X
Advanced Practice Midwife
Primary
APN.0996611-CNM
CO
Other
Enumeration date
05/14/2018
Last updated
10/23/2021
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