Healthcare Provider Details

I. General information

NPI: 1952519225
Provider Name (Legal Business Name): ALISA MARIE LINDE MORSE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2007
Last Update Date: 01/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 E BOULDER ST MATERNAL FETAL MEDICINE
COLORADO SPRINGS CO
80909-5533
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE SUITE 150
LOVELAND CO
80538-8702
US

V. Phone/Fax

Practice location:
  • Phone: 719-365-5960
  • Fax: 719-365-5977
Mailing address:
  • Phone: 970-624-4443
  • Fax: 970-490-4175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number186772
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.0005813.CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: