Individual
MRS. SAMANTHA MAE VENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, RM
Contact information
Practice address
2201 KIPLING ST STE 201, LAKEWOOD, CO 80215-1545
(303) 324-8636
Mailing address
12513 W 8TH AVE, GOLDEN, CO 80401-4600
(303) 324-8636
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MWR.0000202
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MWR.0000202
COLORADO STATE LICENSE NUMBER
CO
Enumeration date
07/14/2021
Last updated
07/14/2021
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