Healthcare Provider Details

I. General information

NPI: 1750797155
Provider Name (Legal Business Name): KATHARINE RAWLINS LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2014
Last Update Date: 01/05/2025
Certification Date: 01/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 E CALDERWOOD DR STE 100
MERIDIAN ID
83642-7851
US

IV. Provider business mailing address

135 E CALDERWOOD DR STE 100
MERIDIAN ID
83642-7851
US

V. Phone/Fax

Practice location:
  • Phone: 986-999-3911
  • Fax: 208-600-6911
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMID-56
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: