Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1104305796 |
---|---|
Provider Name | Heidi Alie Hennigan |
First Address | Aurora, CO 80013-3631 |
Second Address | Aurora, CO 80013-3631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2018 |
Last Update Date | 14/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
18080007 | NORTH AMERICAN REGISTRY OF MIDWIVES (01) |