WALLENE A STODDARD

MERIDIAN, ID
NPI1346437027
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: ID  57884)
Additional Taxonomies163W00000X Registered Nurse
(Licence: ID  57884)
163WX0003X Registered Nurse, Obstetric, Inpatient
(Licence: CA  589572)
367A00000X Advanced Practice Midwife
(Licence: CA  1792)
Enumeration Date2007-09-26
Last Update Date2018-11-13
Business Address
WALLENE A STODDARD CNM
270 N LINDER RD
MERIDIAN, ID 83642
Phone number: 208-884-1223
Mailing Address
WALLENE A STODDARD CNM
270 N LINDER RD
MERIDIAN, ID 83642-2437
Phone number: 208-884-1223