Provider Demographics
NPI:1033371158
Name:BURRAGE, BARBIE (CPM RM)
Entity Type:Individual
Prefix:
First Name:BARBIE
Middle Name:
Last Name:BURRAGE
Suffix:
Gender:F
Credentials:CPM RM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531 W SWALLOW RD
Mailing Address - Street 2:UNIT 32
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-2395
Mailing Address - Country:US
Mailing Address - Phone:970-482-3854
Mailing Address - Fax:
Practice Address - Street 1:1531 W SWALLOW RD
Practice Address - Street 2:UNIT 32
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2395
Practice Address - Country:US
Practice Address - Phone:970-482-3854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife