Healthcare Provider Details

I. General information

NPI: 1134753858
Provider Name (Legal Business Name): HANNAH VOGTSCHALLER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2020
Last Update Date: 11/27/2023
Certification Date: 03/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST
DENVER CO
80204-4597
US

IV. Provider business mailing address

777 BANNOCK ST
DENVER CO
80204-4597
US

V. Phone/Fax

Practice location:
  • Phone: 970-631-7683
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberAPN-0994476-CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: