Provider Demographics
NPI:1003556853
Name:ESTOLL, CHRISTY LYNNAE (CNM)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LYNNAE
Last Name:ESTOLL
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:501 E GENESEO ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-2426
Mailing Address - Country:US
Mailing Address - Phone:720-982-6511
Mailing Address - Fax:
Practice Address - Street 1:1635 AURORA COURT
Practice Address - Street 2:AOP 3425
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:720-848-1738
Practice Address - Fax:720-848-1844
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.0997422-CNM176B00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife