Healthcare Provider Details

I. General information

NPI: 1477405728
Provider Name (Legal Business Name): ANNSLEY-RAE ROBB CPM, LM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 W MULHULAND CT
KUNA ID
83634-1299
US

IV. Provider business mailing address

1959 W MULHULAND CT
KUNA ID
83634-1299
US

V. Phone/Fax

Practice location:
  • Phone: 775-420-9509
  • Fax:
Mailing address:
  • Phone: 775-420-9509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number3771592
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: