| NPI | 1255505525 |
|---|---|
| Doing Business As | COUNTRY MIDWIFE |
| Entity Type | Organization |
| Authorized Contact | STACY L VANDENPUT Midwife, Manager 920-562-9058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WI 107888-030) |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WH0200X Registered Nurse, Home Health | |
| 163WL0100X Registered Nurse, Lactation Consultant | |
| 163WM0102X Registered Nurse, Maternal Newborn | |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory | |
| 176B00000X Midwife (Licence: WI 31-049) | |
| 176B00000X Midwife | |
| 176B00000X Midwife | |
| 261QB0400X Clinic/Center, Birthing | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2010-11-05 |