Healthcare Provider Details

I. General information

NPI: 1619646080
Provider Name (Legal Business Name): ABIGAIL LEIGH MEYER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2021
Last Update Date: 10/07/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N GRAND AVE SUITE 400
PUEBLO CO
81003
US

IV. Provider business mailing address

400 N GRAND AVE SUITE 400
PUEBLO CO
81003
US

V. Phone/Fax

Practice location:
  • Phone: 719-585-2500
  • Fax:
Mailing address:
  • Phone: 719-585-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.0996856-CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: