=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265239099
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BRIGHT WELL MIDWIFERY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2025
-----------------------------------------------------
Last Update Date | 02/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 124 GROUSE RD
-----------------------------------------------------
City | PIERRE
-----------------------------------------------------
State | SD
-----------------------------------------------------
Zip | 57501-6127
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 605-280-3940
-----------------------------------------------------
Fax | 605-782-9439
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 124 GROUSE RD
-----------------------------------------------------
City | PIERRE
-----------------------------------------------------
State | SD
-----------------------------------------------------
Zip | 57501-6127
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 605-280-3940
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/CERTIFIED NURSE MIDWIFE
-----------------------------------------------------
Name | DAWN LEIGH NORDQUIST
-----------------------------------------------------
Credential | CNM
-----------------------------------------------------
Telephone | 605-280-3940
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------