Audrey Eileen Small CNM

NPI 1164630042 - Midwife - 176B00000X

NPI Details
NPI 1164630042
Gender Female
Enumeration Date 05/21/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
355 CARLANNA LAKE RD LOWR
KETCHIKAN AK, 99901-5614, US
Phone (907) 225-1231
Fax (907) 247-1231
Business Location
PO BOX 5098
KETCHIKAN AK, 99901-0033, US
Phone (907) 225-1231
Fax (907) 247-1231
Toxanomy
Taxonomy Code 176B00000X
License State Alaska
License Number 524
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According to our database, Audrey Eileen Small CNM NPI is 1164630042, taxonomy code is 176B00000X and license number is 524, license state is located at Alaska. Audrey Eileen Small CNM physically located at 355 Carlanna Lake Rd Lowr, Ketchikan AK, 99901-5614. NPI Number Audrey Eileen Small CNM has the Individual type.

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1164630042 NPI number is provided on an as is basis without warranty of any kind. 1164630042 is maintained by the National Plan & Provider Enumeration System. The contents of Audrey Eileen Small CNM are for informational purposes only.