Individual
GAYLE A. TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4200 E 9TH AVE, DENVER, CO 80262-0001
(303) 493-7000
Mailing address
13611 E COLFAX AVE, AURORA, CO 80045-5701
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
127746
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45135746
—
CO
Enumeration date
08/02/2006
Last updated
09/30/2015
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