MEDICARE: KATY L WARZECHA CNM

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
1	176B00000X	Midwife	N45156	ID

General Provider Information

NPI Number	:	1144653247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATY L WARZECHA CNM

Provider Business Mailing Address
First Line	:	2003 KOOTENAI HEALTH WAY
Second Line	:
City	:	COEUR D ALENE
State	:	ID
Zip	:	83814-6051
Country	:	US
Telephone Number	:	208-625-5085
Fax Number	:	208-625-5731

Provider Business Practice Location Address
First Line	:	1300 E MULLAN AVE STE 500
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-6058
Country	:	US
Telephone Number	:	208-625-5635
Fax Number	:	208-625-5636

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2013
Last Update Date	:	12/18/2025

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