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Organization
BIRTH AND FAMILY MIDWIFERY, LLC
Active
Organization
BIRTH AND FAMILY MIDWIFERY, LLC
Active
Other names
Birth and Family Midwifery
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ANNE WIRTZ CNM (OWNER)
(360) 425-0861
Entity
Organization
Contact information
Practice address
1514 COMMERCE AVE, LONGVIEW, WA 98632-4102
(360) 353-3822
Mailing address
PO BOX 48, CARROLLS, WA 98609-0048
(360) 749-0010
(844) 654-7171
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
—
NULL
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
363LW0102X
Women's Health Nurse Practitioner
—
NULL
363LW0102X
Women's Health Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
Primary
—
NULL
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
09/17/2017
Last updated
03/17/2018
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