MEDICARE: MS. GAIL COLLEEN CONSOLI CNM,MSN

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	120011	NE

General Provider Information

NPI Number	:	1447272653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GAIL COLLEEN CONSOLI CNM,MSN

Provider Business Mailing Address
First Line	:	106 22ND DR
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701-4523
Country	:	US
Telephone Number	:	402-379-4096
Fax Number	:

Provider Business Practice Location Address
First Line	:	1410 N 13TH ST
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701
Country	:	US
Telephone Number	:	402-379-2322
Fax Number	:

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/08/2007

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