Provider Demographics
NPI:1598305039
Name:BLYTHE, DONNA LYNN (CPM)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LYNN
Last Name:BLYTHE
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 1:6575 S JACKSON CT
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80121-3635
Mailing Address - Country:US
Mailing Address - Phone:303-868-8691
Mailing Address - Fax:
Practice Address - Street 1:6575 S JACKSON CT
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80121-3635
Practice Address - Country:US
Practice Address - Phone:303-868-8691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife