Provider Demographics
NPI:1568464899
Name:WALTERS, ANNE LOUISE (CNM MSN)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:LOUISE
Last Name:WALTERS
Suffix:
Gender:F
Credentials:CNM MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2736
Mailing Address - Country:US
Mailing Address - Phone:303-781-5299
Mailing Address - Fax:303-781-5809
Practice Address - Street 1:701 E HAMPDEN AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2736
Practice Address - Country:US
Practice Address - Phone:303-781-5299
Practice Address - Fax:303-781-5809
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO128551176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO91480361Medicaid
CO22832564OtherMEDICAID GROUP NUMBER
CO20070748OtherMEDICAID GROUP NUMBER
CO92783341OtherMEDICAID GROUP NUMBER
CO91480361Medicaid