Healthcare Provider Details

I. General information

NPI: 1912225954
Provider Name (Legal Business Name): MIDWIFE SEATTLE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2010
Last Update Date: 05/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10317 GREENWOOD AVE N STE 102
SEATTLE WA
98133-9152
US

IV. Provider business mailing address

10317 GREENWOOD AVE N STE 102
SEATTLE WA
98133-9152
US

V. Phone/Fax

Practice location:
  • Phone: 206-784-2422
  • Fax: 206-782-1311
Mailing address:
  • Phone: 206-784-2422
  • Fax: 206-782-1311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW00000318
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW00000316
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP3003471
License Number StateWA

VIII. Authorized Official

Name: MRS. CYNTHIA S BROWN
Title or Position: CERTIFIED NURSE-MIDWIFE
Credential: CNM, ARNP
Phone: 206-784-2422