| NPI | 1780834077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RAE BARTLETT Owner 208-745-7571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center Birthing |
| Additional Taxonomies | 176B00000X Midwife (Licence: ID MID-19) |
| 176B00000X Midwife (Licence: ID MID-38) | |
| 176B00000X Midwife (Licence: ID MID-9) | |
| 363LF0000X Nurse Practitioner Family (Licence: ID NP868A) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2012-04-10 |