Individual provider · NPI-1
Lisa Jo Litton, CNM
Advanced Practice Midwife · Mount Vernon, WA
NPI number1225136302
StatusActive
Last updated in NPPESMar 16, 2021
Details
- NPI
- 1225136302
- Entity type
- Individual (NPI-1)
- Name
- Lisa Jo Litton
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Certification date
- Mar 16, 2021
- Last updated
- Mar 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | AP30001593 | WA | Yes |
| 163W00000X | Registered Nurse | RN00085617 | WA |
Practice location
916 S 3rd StMount Vernon, WA 98273-4324
Phone 360-336-5658 · Fax 360-336-5655
Mailing address
916 S 3rd StMount Vernon, WA 98273-4324
Phone 360-336-5658 · Fax 360-336-5655
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