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NPI Code Detail

MEDICARE: MARLEY WALTERS LM, CPM

MEDICARE: MARLEY WALTERS LM, CPM
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
1176B00000XMidwifeMW61636945WA

General Provider Information

NPI Number : 1104627496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLEY WALTERS LM, CPM
Provider Business Mailing Address
First Line : 612 SIERRA ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-8681
Country : US
Telephone Number : 629-201-1174
Fax Number :
Provider Business Practice Location Address
First Line : 916 S 3RD ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-4324
Country : US
Telephone Number : 360-336-9997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2025
Last Update Date : 03/21/2025

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Directions to “ MARLEY WALTERS LM, CPM” Practice Location

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