MEDICARE: ALEXANDRA BRATSCHIE CNM, WHNP

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	363LF0000X	Family Nurse Practitioner	4704307971	MI
2	367A00000X	Advanced Practice Midwife	0991393	CO
3	367A00000X	Advanced Practice Midwife	4704307971	MI
4	367A00000X	Advanced Practice Midwife	APN.0991393-CNM	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4704307971	OTHER	MI	STATE LICENSE

General Provider Information

NPI Number	:	1669809711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA BRATSCHIE CNM, WHNP

Provider Business Mailing Address
First Line	:	100 MICHIGAN ST NE # MC845
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-2560
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1830 BLAKE AVE STE 208
Second Line	:
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-4261
Country	:	US
Telephone Number	:	970-945-2238
Fax Number	:	970-928-8926

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

Provider Enumeration Date	:	10/03/2013
Last Update Date	:	07/18/2025

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