Healthcare Provider Details

I. General information

NPI: 1730547084
Provider Name (Legal Business Name): CHARITY CATLIN LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2016
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 HIGHWAY 2 STE 214
SANDPOINT ID
83864-1678
US

IV. Provider business mailing address

PO BOX 2355
SANDPOINT ID
83864-2355
US

V. Phone/Fax

Practice location:
  • Phone: 208-627-8096
  • Fax: 844-661-1057
Mailing address:
  • Phone: 208-627-8096
  • Fax: 844-661-1057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175M00000X
TaxonomyLay Midwife
License NumberACH-MID-LIC-1786
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMID-64
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: