Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Birthing |
261QB0400X | |||
Perinatal |
363LP1700X | 50 | Nurse Practitioner | |
Women's Health |
364SW0102X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1073298931 |
| LBN Legal business name | BOULDER BIRTH & HOLISTIC HEALTH |
| Authorized official | ABRIE KOUPAL - (CLINICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/19/2023 |
| Last updated | 06/19/2023 - About 3 years ago |
| Identifiers | n/a |
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