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NPI Code Detail

MEDICARE: MISTI L NEIL MSN, CNM

MEDICARE: MISTI L NEIL MSN, 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
1163W00000XRegistered NurseRN.0187727CO
2367A00000XAdvanced Practice MidwifeR130663MD
3367A00000XAdvanced Practice MidwifeAPN0005680-CNMCO

Other Identifiers

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

General Provider Information

NPI Number : 1558357103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISTI L NEIL MSN, CNM
Provider Business Mailing Address
First Line : 7155 E 38TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80207-1630
Country : US
Telephone Number : 800-230-7526
Fax Number :
Provider Business Practice Location Address
First Line : 7155 E 38TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80207-1630
Country : US
Telephone Number : 800-230-7526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 11/21/2025

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