Provider Demographics
NPI:1265122345
Name:SEARLES, REBECCA ERIN (CPM)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ERIN
Last Name:SEARLES
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 1:1010 S SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-5059
Mailing Address - Country:US
Mailing Address - Phone:720-633-3616
Mailing Address - Fax:
Practice Address - Street 1:1817 JESSUP DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2550
Practice Address - Country:US
Practice Address - Phone:866-218-5769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMWR.0000225176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife