Healthcare Provider Details
I. General information
NPI: 1023518503
Provider Name (Legal Business Name): HEART & HANDS MIDWIFERY AND FAMILY HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2018
Last Update Date: 05/22/2020
Certification Date: 05/22/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
770 W RESERVE DR STE 3
KALISPELL MT
59901-2130
US
IV. Provider business mailing address
PO BOX 3031
KALISPELL MT
59903-3031
US
V. Phone/Fax
- Phone: 406-300-4511
- Fax: 406-258-0497
- Phone: 406-752-3239
- Fax: 406-752-3252
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HONEY
MICHELLE
NEWTON
Title or Position: OWNER
Credential:
Phone: 406-212-6000