| NPI | 1790823375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA L WIENS Certified Nurse Midwife 208-343-2079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: ID CNM 51A) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: ID CNM 60A) |
| 176B00000X Midwife (Licence: ID MID-18) | |
| 176B00000X Midwife (Licence: ID MID-40) | |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: ID 107-25803) | |
| 176B00000X Midwife (Licence: ID MID-46) | |
| 367A00000X Advanced Practice Midwife (Licence: ID CNM-70A) | |
| 367A00000X Advanced Practice Midwife (Licence: ID CNM-69A) | |
| 367A00000X Advanced Practice Midwife (Licence: ID CNM-76A) | |
| 176B00000X Midwife (Licence: ID MID-56) | |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2014-07-08 |