Healthcare Provider Details

I. General information

NPI: 1114382934
Provider Name (Legal Business Name): NEW DAY MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2015
Last Update Date: 12/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 STATE AVE NE
OLYMPIA WA
98506-4065
US

IV. Provider business mailing address

1026 STATE AVE NE
OLYMPIA WA
98506-4065
US

V. Phone/Fax

Practice location:
  • Phone: 360-701-1418
  • Fax: 360-252-6160
Mailing address:
  • Phone: 360-701-1418
  • Fax: 360-252-6160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number456
License Number StateWA

VIII. Authorized Official

Name: RACHAEL C COOK
Title or Position: OWNER
Credential: LM, CPM
Phone: 360-701-1418