Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | APN.0995324-CNM | CO |
NPI | 1073146338 |
---|---|
Provider Name | Josi Kate Berry |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2020 |
Last Update Date | 22/07/2020 |