MEDICARE: WOMEN'S WAY MIDWIFERY, INC.

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

General Provider Information

NPI Number	:	1720210479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S WAY MIDWIFERY, INC.

Provider Business Mailing Address
First Line	:	154 W MARYDALE AVE
Second Line	:	SUITE A
City	:	SOLDOTNA
State	:	AK
Zip	:	99669-7501
Country	:	US
Telephone Number	:	907-262-9446
Fax Number	:	907-262-9354

Provider Business Practice Location Address
First Line	:	154 W MARYDALE AVE
Second Line	:	SUITE A
City	:	SOLDOTNA
State	:	AK
Zip	:	99669-7501
Country	:	US
Telephone Number	:	907-262-9446
Fax Number	:	907-262-9354

Authorized Official
Title or Position	:	PRESIDENT/MIDWIFE
Name	:	ANDREA MARIE STIERS
Credential	:	CDM
Telephone Number	:	907-262-9446

Provider Enumeration Date	:	08/13/2009
Last Update Date	:	11/10/2011

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