MEDICARE: MRS. CHANTEL MARIE SCHONEBOOM 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	APN.0170010-CNM	CO

General Provider Information

NPI Number	:	1275613663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHANTEL MARIE SCHONEBOOM CNM

Provider Business Mailing Address
First Line	:	5426 S JASPER WAY
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80015-4226
Country	:	US
Telephone Number	:	720-951-4245
Fax Number	:

Provider Business Practice Location Address
First Line	:	13120 E 19TH AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80045-2567
Country	:	US
Telephone Number	:	303-724-1362
Fax Number	:	303-724-8333

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	07/01/2020

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