Healthcare Provider Details

I. General information

NPI: 1942360995
Provider Name (Legal Business Name): WOMANCARE NURSE-MIDWIFERY PRACTICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 GARFIELD ST
FORT COLLINS CO
80524-3930
US

IV. Provider business mailing address

1025 GARFIELD ST
FORT COLLINS CO
80524-3930
US

V. Phone/Fax

Practice location:
  • Phone: 970-493-1865
  • Fax: 970-493-1586
Mailing address:
  • Phone: 970-493-1865
  • Fax: 970-493-1586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number StateCO

VIII. Authorized Official

Name: MS. LINDA OHLSCHWAGER
Title or Position: OFFICE MANAGER
Credential:
Phone: 970-493-1865