# BIRTH AND FAMILY MIDWIFERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Birth and Family Midwifery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316466709
- **Authorized official:** KATHLEEN ANNE WIRTZ CNM (OWNER)
- **Authorized official phone:** (360) 425-0861

## Contact information

- **Practice address:** 1514 COMMERCE AVE, LONGVIEW, WA 98632-4102
- **Practice address phone:** (360) 353-3822
- **Mailing address:** PO BOX 48, CARROLLS, WA 98609-0048
- **Mailing address phone:** (360) 749-0010
- **Mailing address fax:** (844) 654-7171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2017
- **Last updated:** 03/17/2018