MEDICARE: MRS. ANNE LOUISE WALTERS 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	176B00000X	Midwife	128551	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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568464899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNE LOUISE WALTERS CNM MSN

Provider Business Mailing Address
First Line	:	701 E HAMPDEN AVE
Second Line	:	SUITE 130
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2736
Country	:	US
Telephone Number	:	303-781-5299
Fax Number	:	303-781-5809

Provider Business Practice Location Address
First Line	:	701 E HAMPDEN AVE
Second Line	:	SUITE 130
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2736
Country	:	US
Telephone Number	:	303-781-5299
Fax Number	:	303-781-5809

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	01/25/2012

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