Healthcare Provider Details

I. General information

NPI: 1164671277
Provider Name (Legal Business Name): HOPE G. COULTER CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2008
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1817 JESSUP DR STE 102
FORT COLLINS CO
80525-2550
US

IV. Provider business mailing address

1817 JESSUP DR STE 102
FORT COLLINS CO
80525-2550
US

V. Phone/Fax

Practice location:
  • Phone: 970-596-1958
  • Fax:
Mailing address:
  • Phone: 970-596-1958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMWR.0000079
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: