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NPI Code Detail

MEDICARE: MARIA MICHELLE CROCCO CNM

MEDICARE:   MARIA MICHELLE CROCCO  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
1367A00000XAdvanced Practice Midwife

General Provider Information

NPI Number : 1619803210
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA MICHELLE CROCCO CNM
Provider Business Mailing Address
First Line : 59 JOCKEY CT
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-1211
Country : US
Telephone Number : 614-361-7497
Fax Number :
Provider Business Practice Location Address
First Line : 59 JOCKEY CT
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-1211
Country : US
Telephone Number : 614-361-7497
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2026
Last Update Date : 06/22/2026

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Directions to “ MARIA MICHELLE CROCCO CNM” Practice Location

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