MEDICARE: MRS. HOPE G. COULTER CPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	MWR.0000079	CO

General Provider Information

NPI Number	:	1164671277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HOPE G. COULTER CPM

Provider Business Mailing Address
First Line	:	1817 JESSUP DR STE 102
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2550
Country	:	US
Telephone Number	:	970-596-1958
Fax Number	:

Provider Business Practice Location Address
First Line	:	1817 JESSUP DR STE 102
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2550
Country	:	US
Telephone Number	:	970-596-1958
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2008
Last Update Date	:	06/11/2026

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