Healthcare Provider Details

I. General information

NPI: 1174458723
Provider Name (Legal Business Name): EMILY MARIE YORK CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 HIGHWAY 2 STE 6
SANDPOINT ID
83864-2712
US

IV. Provider business mailing address

PO BOX 285
SAGLE ID
83860-0285
US

V. Phone/Fax

Practice location:
  • Phone: 208-627-8096
  • Fax:
Mailing address:
  • Phone: 208-255-6818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: