Provider Demographics
NPI:1376753996
Name:COLO, AMY (CPM)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:COLO
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3119
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80307-3119
Mailing Address - Country:US
Mailing Address - Phone:303-554-0808
Mailing Address - Fax:303-532-4905
Practice Address - Street 1:737 29TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2317
Practice Address - Country:US
Practice Address - Phone:303-554-0808
Practice Address - Fax:303-532-4905
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife