The Birth Place

NPI 1255686994 - Midwife - 176B00000X

NPI Details
NPI 1255686994
Enumeration Date 07/18/2012
Last Updated 07/18/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name HOLLY HOLLY
Position OWNER
Phone (907) 373-5400
Fax
Practice Location
5805 E. COLUMBUS WAY
WASILLA AK, 99654-7831, US
Phone (907) 373-5400
Fax
Business Location
5805 E. COLUMBUS WAY
WASILLA AK, 99654-7831, US
Phone
Fax
Toxanomy
Taxonomy Code 176B00000X
License State Alaska
License Number 968467
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According to our database, The Birth Place NPI is 1255686994, taxonomy code is 176B00000X and license number is 968467, license state is located at Alaska. The Birth Place physically located at 5805 E. Columbus Way, Wasilla AK, 99654-7831. NPI Number 1033115704 has the healthcare provider type.

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1255686994 NPI number is provided on an as is basis without warranty of any kind. 1255686994 is maintained by the National Plan & Provider Enumeration System. The contents of The Birth Place are for informational purposes only.