MEDICARE: VEVE COBBS MIDWIFE 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
1	176B00000X	Midwife		WI

General Provider Information

NPI Number	:	1255606372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VEVE COBBS MIDWIFE CPM

Provider Business Mailing Address
First Line	:	W3148 BUFFALO HILLS RD
Second Line	:
City	:	PARDEEVILLE
State	:	WI
Zip	:	53954-9643
Country	:	US
Telephone Number	:	608-429-1244
Fax Number	:

Provider Business Practice Location Address
First Line	:	W3148 BUFFALO HILLS RD
Second Line	:
City	:	PARDEEVILLE
State	:	WI
Zip	:	53954-9643
Country	:	US
Telephone Number	:	608-429-1244
Fax Number	:

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

Provider Enumeration Date	:	03/22/2012
Last Update Date	:	03/22/2012

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Directions to “ VEVE COBBS MIDWIFE CPM” Practice Location

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