Healthcare Provider Details

I. General information

NPI: 1740475730
Provider Name (Legal Business Name): ANN MARIE TAYLOR CPM,RM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 09/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

483 MORRISON ST
CARBONDALE CO
81623-1618
US

IV. Provider business mailing address

483 MORRISON ST
CARBONDALE CO
81623-1618
US

V. Phone/Fax

Practice location:
  • Phone: 970-963-7164
  • Fax: 970-963-5966
Mailing address:
  • Phone: 970-963-7164
  • Fax: 970-963-5966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number94
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: