MEDICARE: CAROLE INGLIS 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	523	NM

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	:	1659304145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLE INGLIS CNM

Provider Business Mailing Address
First Line	:	1905 BLAKE AVE
Second Line	:	SUITE 203
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-4288
Country	:	US
Telephone Number	:	970-928-7727
Fax Number	:	970-928-7727

Provider Business Practice Location Address
First Line	:	1905 BLAKE AVE
Second Line	:	SUITE 203
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-4288
Country	:	US
Telephone Number	:	970-928-7727
Fax Number	:	970-928-7727

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

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	07/09/2013

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Directions to “ CAROLE INGLIS CNM” Practice Location

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