Healthcare Provider Details

I. General information

NPI: 1346814340
Provider Name (Legal Business Name): DEBRA ALYNN COATY RN, CNM, RXN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEB ALYNN ZIELKE RN

II. Dates (important events)

Enumeration Date: 05/14/2021
Last Update Date: 07/02/2021
Certification Date: 07/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 E PRENTICE AVE STE D10
GREENWOOD VILLAGE CO
80111-2728
US

IV. Provider business mailing address

9368 YUCCA WAY
ARVADA CO
80007-7364
US

V. Phone/Fax

Practice location:
  • Phone: 303-309-3660
  • Fax:
Mailing address:
  • Phone: 303-868-2989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN.0097009
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.0002136-CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: