Individual provider · NPI-1
Heidi Susan Dahlborg, L.M.
Midwife, Lay · Sarasota, FL
NPI number1548336993
StatusActive
Last updated in NPPESFeb 23, 2015
Details
- NPI
- 1548336993
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Heidi Susan Dahlborg
- Credential
- L.M.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 28, 2006
- Last updated
- Feb 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175M00000X | Midwife, Lay | MW123 | FL | Yes |
Practice location
5353 Midland RdSarasota, FL 34231-6223
Phone 941-726-8203
Mailing address
5353 Midland RdSarasota, FL 34231-6223
Phone 941-726-8203
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