Organization · NPI-2

406 Midwifery, INC

Advanced Practice Midwife · Missoula, MT

NPI number1356056352
StatusActive
Last updated in NPPESJan 16, 2023

Details

NPI
1356056352
Entity type
Organization (NPI-2)
Legal business name
406 Midwifery, INC
Organization subpart
No
Enumeration date
Jan 16, 2023
Certification date
Jan 14, 2023
Last updated
Jan 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367A00000X Advanced Practice Midwife––Yes
363LF0000X Nurse Practitioner, Family––

Practice location

2404 39th St
Missoula, MT 59803-1123

Phone 406-945-5551 · Fax 405-625-2552

Mailing address

Po Box 1015
Stevensville, MT 59870-1015

Phone 406-945-5551 · Fax 406-625-2552

Authorized official

Rachel J Evens
Owner
4069455551

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