MEDICARE: CARLEEN R INNES 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	86312	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

General Provider Information

NPI Number	:	1366475147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLEEN R INNES CNM

Provider Business Mailing Address
First Line	:	7735 WADSWORTH BLVD UNIT D
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80003-2131
Country	:	US
Telephone Number	:	800-230-7526
Fax Number	:

Provider Business Practice Location Address
First Line	:	7735 WADSWORTH BLVD UNIT D
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80003-2131
Country	:	US
Telephone Number	:	800-230-7526
Fax Number	:

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

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	11/21/2025

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Directions to “ CARLEEN R INNES CNM” Practice Location

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