REBEKAH G FAYETTE

BOISE, ID
NPI1043690175
Former NameREBEKAH TYLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: ID  54388)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: OR  201504141NP-PP)
Enumeration Date2015-06-03
Last Update Date2024-02-12
Business Address
Ms. REBEKAH G FAYETTE CNM
1072 N LIBERTY SUITE 100
BOISE, ID 83704-8708
Phone number: 208-302-1200
Mailing Address
Ms. REBEKAH G FAYETTE CNM
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-302-9342