| Carleen R Innes, CNM | |
|
280 Exempla Cir, Lafayette, CO 80026-3370 | |
| (303) 338-4545 | |
| Not Available |
| Full Name | Carleen R Innes |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 280 Exempla Cir, Lafayette, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366475147 | NPI | - | NPPES |
| 07863129 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 86312 (Colorado) | Primary |
| Entity Name | Peak Vista Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337 |
| Entity Name | Colorado Permanente Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Carleen R Innes, CNM 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Carleen R Innes, CNM 280 Exempla Cir, Lafayette, CO 80026-3370 Ph: (303) 338-4545 |
Meagann M Little, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 300 Exempla Cir, Lafayette, CO 80026 Phone: 303-318-3296 Fax: 303-325-8510 | |
Mrs. Valorie Corene Hauck-sorensen, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 300 Exempla Cir Ste 470, Lafayette, CO 80026 Phone: 303-318-3296 Fax: 303-325-8510 | |
Jeanne M Vonachen, MS, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 |