Provider Demographics
NPI:1114104106
Name:NIGHSWANDER, CAROLE (CNM)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:
Last Name:NIGHSWANDER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 HEALTH PARK DR STE 290
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9586
Mailing Address - Country:US
Mailing Address - Phone:303-439-8910
Mailing Address - Fax:303-439-9134
Practice Address - Street 1:90 HEALTH PARK DR STE 290
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9586
Practice Address - Country:US
Practice Address - Phone:303-439-8910
Practice Address - Fax:303-439-9134
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM843367A00000X
CO74176B00000X
COAPN.997277-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife