Organization
COMMUNITY MIDWIFERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAREN J FULLER MSM, CPM, RM (OWNER, MIDWIFE)
(719) 761-7541
Entity
Organization
Contact information
Practice address
2021 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3840
(719) 761-7541
Mailing address
2021 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3840
(719) 761-7541
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MWR.0000163
CO
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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