Bridget Divane, CNM | |
1715 61st Ave, Greeley, CO 80634-7989 | |
(970) 336-1500 | |
(970) 336-1505 |
Full Name | Bridget Divane |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1715 61st Ave, Greeley, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215578513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 209019824 (Illinois) | Secondary |
367A00000X | Advanced Practice Midwife | APN.0995090-CNM (Colorado) | Primary |
Entity Name | Poudre Valley Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Bridget Divane, CNM 1715 61st Ave, Greeley, CO 80634-7989 Ph: (970) 336-1500 | Bridget Divane, CNM 1715 61st Ave, Greeley, CO 80634-7989 Ph: (970) 336-1500 |
Rae Andrews, RN, CNM, MS Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1555 N 17th Ave, Greeley, CO 80631 Phone: 970-304-6425 Fax: 970-304-6416 | |
Ms. Keiko Marie Foose, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1715 61st Ave, Greeley, CO 80634 Phone: 970-336-1500 Fax: 970-336-1505 | |
Joanna L Sheets, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1715 61st Ave, Greeley, CO 80634 Phone: 970-336-1500 Fax: 970-336-1505 | |
Ms. Krista N O'leary, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1715 61st Ave, Greeley, CO 80634 Phone: 970-336-1500 Fax: 970-336-1505 | |
Tammy Marie Brunk, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 8223 W 20th St, Greeley, CO 80634 Phone: 970-353-6000 Fax: 970-353-6001 | |
Cynthia M Dean, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1175 58th Ave, Ste 200, Greeley, CO 80634 Phone: 970-495-0444 Fax: 970-224-9624 |