Healthcare Provider Details

I. General information

NPI: 1699697177
Provider Name (Legal Business Name): HAVEN SHOEMAKER MS, CNM, CCRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7936 E ARAPAHOE CT
CENTENNIAL CO
80112-1369
US

IV. Provider business mailing address

4458 MILLER ST
WHEAT RIDGE CO
80033-2889
US

V. Phone/Fax

Practice location:
  • Phone: 410-596-9562
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM10763
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: