Individual
LAURA THIELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
4549 XAVIER ST, DENVER, CO 80212-2516
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
170005
CO
Other
Enumeration date
12/21/2010
Last updated
06/06/2019
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