Healthcare Provider Details

I. General information

NPI: 1659793008
Provider Name (Legal Business Name): LINDSEY STUART CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2014
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 WARDENBURG DRIVE
BOULDER CO
80309-1309
US

IV. Provider business mailing address

UNIVERSITY OF COLORADO BOULDER 119 UCB WARDENBURG
BOULDER CO
80309-0001
US

V. Phone/Fax

Practice location:
  • Phone: 303-492-5101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number1659793008
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.0991064-CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: