Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | APN.0994137-CNM | CO |
NPI | 1013490028 |
---|---|
Provider Name | Tess Volz |
First Address | Greeley, CO 80634-7989 |
Second Address | Greeley, CO 80634-7989 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2018 |
Last Update Date | 27/11/2018 |