Healthcare Provider Details

I. General information

NPI: 1386845576
Provider Name (Legal Business Name): VIRGINIA NAGEL CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 EXEMPLA CIR STE 470
LAFAYETTE CO
80026-3396
US

IV. Provider business mailing address

300 EXEMPLA CIR STE 470
LAFAYETTE CO
80026-3396
US

V. Phone/Fax

Practice location:
  • Phone: 303-318-3296
  • Fax: 303-325-8510
Mailing address:
  • Phone: 303-318-3296
  • Fax: 303-325-8510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberAPN 0013006-CNM
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN0013006-CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: