MEDICARE: THE NESTING PLACE, 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
1	176B00000X	Midwife
2	261QB0400X	Birthing Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1952817926	OTHER		ORGANIZATIONAL NPI
2	1043526098	OTHER		NPI

General Provider Information

NPI Number	:	1730729385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE NESTING PLACE, LLC

Provider Business Mailing Address
First Line	:	138 W CORRAL AVE
Second Line	:
City	:	SOLDOTNA
State	:	AK
Zip	:	99669-7541
Country	:	US
Telephone Number	:	907-315-9916
Fax Number	:

Provider Business Practice Location Address
First Line	:	138 W CORRAL AVE
Second Line	:
City	:	SOLDOTNA
State	:	AK
Zip	:	99669-7541
Country	:	US
Telephone Number	:	907-315-9916
Fax Number	:

Authorized Official
Title or Position	:	MIDWIFE/OWNER
Name	:	JENNIFER CAVE
Credential	:	CPM, CDM
Telephone Number	:	907-315-9916

Provider Enumeration Date	:	01/12/2020
Last Update Date	:	01/01/2024

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Directions to “THE NESTING PLACE, LLC ” Practice Location

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