Individual
JEAN FRYDA LEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP
Contact information
Practice address
68 COLUMBINE LN, PARACHUTE, CO 81635-9553
(970) 314-4409
Mailing address
68 COLUMBINE LN, PARACHUTE, CO 81635-9553
(970) 314-4409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
91517
CO
176B00000X
Midwife
91517
CO
363LF0000X
Family Nurse Practitioner
Primary
5885
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07915176
—
CO
05
—
116287701
—
TX
01
—
71866
MEDICARE
CO
01
—
80238M
MEDICARE
TX
Enumeration date
09/25/2007
Last updated
05/07/2013
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