Organization · NPI-2
A Womans Place
Advanced Practice Midwife · Ketchikan, AK
NPI number1801119219
StatusActive
Last updated in NPPESMar 12, 2010
Details
- NPI
- 1801119219
- Entity type
- Organization (NPI-2)
- Legal business name
- A Womans Place
- Organization subpart
- No
- Enumeration date
- Mar 12, 2010
- Last updated
- Mar 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 940142 | AK | Yes |
Practice location
355 Carlanna Lake RdLower
Ketchikan, AK 99901-5614
Phone 907-225-1231 · Fax 907-247-1231
Mailing address
355 Carlanna Lake RdLower
Ketchikan, AK 99901-5614
Phone 907-225-1231 · Fax 907-247-1231
Authorized official
Eileen G Small
Owner
9072251231
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