Individual provider · NPI-1

Erin Marie Pence, CNM, RN

Advanced Practice Midwife · Missoula, MT

NPI number1730771965
StatusActive
Last updated in NPPESMar 3, 2021

Details

NPI
1730771965
Entity type
Individual (NPI-1)
Name
Erin Marie Pence
Credential
CNM, RN
Sex
Female
Sole proprietor
No
Enumeration date
Feb 9, 2021
Certification date
Mar 3, 2021
Last updated
Mar 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367A00000X Advanced Practice Midwife––Yes
163WX0003X Registered Nurse, Obstetric, InpatientNUR-RN-LIC-152526MT

Practice location

2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479

Phone 406-523-5650

Mailing address

2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479

Phone 406-523-5650

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