Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 0996310 | CO |
NPI | 1003480948 |
---|---|
Provider Name | Mary Margaret Berigan |
First Address | Denver, CO 80236-2030 |
Second Address | Denver, CO 80204-4532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2021 |
Last Update Date | 15/05/2021 |