MACHELLE F. PETERSON

TENSED, ID
NPI1689216095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: ID  62928)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: WA  61016081)
Enumeration Date2019-10-17
Last Update Date2023-11-06
Business Address
MACHELLE F. PETERSON CNM
468 LONESOME DOVE LN
TENSED, ID 83870-8387
Phone number: 208-874-3095
Mailing Address
MACHELLE F. PETERSON CNM
PO BOX 93
TENSED, ID 83870-0093
Phone number: 208-874-3095