Provider Demographics
NPI:1952519225
Name:MORSE, ALISA MARIE LINDE (CNM)
Entity Type:Individual
Prefix:
First Name:ALISA
Middle Name:MARIE LINDE
Last Name:MORSE
Suffix:
Gender:F
Credentials:CNM
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-8702
Mailing Address - Country:US
Mailing Address - Phone:970-624-4443
Mailing Address - Fax:970-490-4175
Practice Address - Street 1:1400 E BOULDER ST
Practice Address - Street 2:MATERNAL FETAL MEDICINE
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5533
Practice Address - Country:US
Practice Address - Phone:719-365-5960
Practice Address - Fax:719-365-5977
Is Sole Proprietor?:No
Enumeration Date:2007-05-19
Last Update Date:2015-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO186772367A00000X
COAPN.0005813.CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO11687878Medicaid
COCOA109695Medicare PIN
COCO306377Medicare PIN