Provider Demographics
NPI:1881255339
Name:FOLTZ, JENNIFER ROCHELLE (RM)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ROCHELLE
Last Name:FOLTZ
Suffix:
Gender:F
Credentials:RM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3215 CONEFLOWER CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-7547
Mailing Address - Country:US
Mailing Address - Phone:818-415-9229
Mailing Address - Fax:
Practice Address - Street 1:3215 CONEFLOWER CT
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-7547
Practice Address - Country:US
Practice Address - Phone:818-415-9229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000064176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife