MEDICARE: MS. JENNIFER ALLEN C.N.M.

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	367A00000X	Advanced Practice Midwife	APN.0990612-CNM	CO

General Provider Information

NPI Number	:	1457789638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER ALLEN C.N.M.

Provider Business Mailing Address
First Line	:	2695 ROCKY MOUNTAIN AVE STE 150
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9071
Country	:	US
Telephone Number	:	970-624-4128
Fax Number	:	970-490-4340

Provider Business Practice Location Address
First Line	:	1100 CENTRAL PARK DR STE 1000
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-8818
Country	:	US
Telephone Number	:	970-879-3738
Fax Number	:	970-870-6441

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

Provider Enumeration Date	:	10/24/2013
Last Update Date	:	06/11/2020

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