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NPI Code Detail

MEDICARE: BARBIE BURRAGE CPM RM

MEDICARE:   BARBIE  BURRAGE  CPM RM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1176B00000XMidwife

General Provider Information

NPI Number : 1033371158
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBIE BURRAGE CPM RM
Provider Business Mailing Address
First Line : 1531 W SWALLOW RD
Second Line : UNIT 32
City : FORT COLLINS
State : CO
Zip : 80526-2395
Country : US
Telephone Number : 970-482-3854
Fax Number :
Provider Business Practice Location Address
First Line : 1531 W SWALLOW RD
Second Line : UNIT 32
City : FORT COLLINS
State : CO
Zip : 80526-2395
Country : US
Telephone Number : 970-482-3854
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2008
Last Update Date : 06/30/2008

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Directions to “ BARBIE BURRAGE CPM RM” Practice Location

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