Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 19 | CO |
NPI | 1114048469 |
---|---|
Provider Name | Margaret Jeni Schraishuhn |
First Address | Longmont, CO 80501-4720 |
Second Address | Longmont, CO 80501-4720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 08/07/2007 |