Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | ||
N | 176B00000X | Midwife | NA | CO |
NPI | 1013580679 |
---|---|
Provider Name | Emrie Beach |
First Address | Wheat Ridge, CO 80033-3536 |
Second Address | Denver, CO 80218-1128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2021 |
Last Update Date | 21/07/2021 |