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NPI Code Detail

MEDICARE: LOVE THE BELLY MIDWIFERY & WOMEN'S HEALTH, LLC

MEDICARE: LOVE THE BELLY MIDWIFERY & WOMEN'S HEALTH, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SW0102XWomen's Health Clinical Nurse SpecialistCNM1646WA
2363LX0001XObstetrics & Gynecology Nurse PractitionerAP60424955WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003271057
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOVE THE BELLY MIDWIFERY & WOMEN'S HEALTH, LLC
Provider Business Mailing Address
First Line : PO BOX 734
Second Line :
City : FOX ISLAND
State : WA
Zip : 98333-0734
Country : US
Telephone Number : 253-376-9070
Fax Number : 253-248-0149
Provider Business Practice Location Address
First Line : 5224 OLYMPIC DR NW STE 106
Second Line :
City : GIG HARBOR
State : WA
Zip : 98335-1792
Country : US
Telephone Number : 253-376-9070
Fax Number : 253-248-0149
Authorized Official
Title or Position : OWNER
Name : MISTY MOLINA
Credential : ARNP, CNM
Telephone Number : 253-376-9070
Provider Enumeration Date : 12/17/2015
Last Update Date : 12/17/2015

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Directions to “LOVE THE BELLY MIDWIFERY & WOMEN'S HEALTH, LLC ” Practice Location

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