MEDICARE: RUTH GOLAR CNM

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
1	367A00000X	Advanced Practice Midwife	660	NM
2	367A00000X	Advanced Practice Midwife	C-APN.0101893-C-CNM	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134559552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH GOLAR CNM

Provider Business Mailing Address
First Line	:	7155 E 38TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80207-1630
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4630 EUBANK BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-2552
Country	:	US
Telephone Number	:	505-944-2021
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2013
Last Update Date	:	02/24/2026

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