Healthcare Provider Details

I. General information

NPI: 1811309040
Provider Name (Legal Business Name): SYLVIA MICHELLE WINDHAM CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2014
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 5TH AVENUE AND TED STEVENS WAY
KOTZEBUE AK
99752
US

IV. Provider business mailing address

1842 SIMPSON HIGHWAY 149
MENDENHALL MS
39114-3438
US

V. Phone/Fax

Practice location:
  • Phone: 907-442-3321
  • Fax:
Mailing address:
  • Phone: 601-847-7130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number904667
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1443
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: