Healthcare Provider Details

I. General information

NPI: 1316571946
Provider Name (Legal Business Name): CRISTI GRONOWSKI CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2020
Last Update Date: 02/22/2020
Certification Date: 02/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8111 E LOWRY BLVD STE 230
DENVER CO
80230-7255
US

IV. Provider business mailing address

8111 E LOWRY BLVD STE 230
DENVER CO
80230-7255
US

V. Phone/Fax

Practice location:
  • Phone: 720-464-7599
  • Fax:
Mailing address:
  • Phone: 720-464-7599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberAPN.0995380-CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: