| Bridget Divane, CNM | |
|
7735 Wadsworth Blvd Unit D, Arvada, CO 80003-2131 | |
| (800) 230-7526 | |
| Not Available |
| Full Name | Bridget Divane |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 7735 Wadsworth Blvd Unit D, Arvada, 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 |
| 9000178270 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209019824 (Illinois) | Secondary |
| 367A00000X | Advanced Practice Midwife | APN.0995090-CNM (Colorado) | Primary |
| Entity Name | Saint Joseph Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154361350 PECOS PAC ID: 6204735970 Enrollment ID: O20040102000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Bridget Divane, CNM 7155 E 38th Ave, Denver, CO 80207-1630 Ph: Not Available | Bridget Divane, CNM 7735 Wadsworth Blvd Unit D, Arvada, CO 80003-2131 Ph: (800) 230-7526 |
Ms. Julie A Javernick, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 7950 Kipling St, Suite 201, Arvada, CO 80005 Phone: 303-424-6466 Fax: 303-420-8944 |
Carleen R Innes, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 7735 Wadsworth Blvd Unit D, Arvada, CO 80003 Phone: 800-230-7526 |
Andrea Talarico, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 7950 Kipling Parkway Ste. 201, Arvada, CO 80005 Phone: 303-424-6466 |
Norine M Taylor, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 7950 Kipling St, Suite 201, Arvada, CO 80005 Phone: 303-424-6466 Fax: 303-420-8944 |