Healthcare Provider Details

I. General information

NPI: 1003556853
Provider Name (Legal Business Name): CHRISTY LYNNAE ESTOLL CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 PROFESSIONAL LN
LONGMONT CO
80501-6972
US

IV. Provider business mailing address

106 E CANNON ST
LAFAYETTE CO
80026-2244
US

V. Phone/Fax

Practice location:
  • Phone: 303-315-0400
  • Fax:
Mailing address:
  • Phone: 720-982-6511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberAPN.0997422-CNM
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.0997422-CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: