# WONDERFULLY MADE MIDWIFERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790554087
- **Authorized official:** RACHELLE VONGREY APRN (OWNER)
- **Authorized official phone:** (360) 391-5988

## Contact information

- **Practice address:** 902 NE CENTER ST, COUPEVILLE, WA 98239-3466
- **Practice address phone:** (360) 391-5988
- **Mailing address:** 806 SILVER LAKE RD, OAK HARBOR, WA 98277-7808
- **Mailing address phone:** (360) 391-5988
- **Mailing address fax:** (360) 639-6331

## Taxonomy

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

## Other

- **Enumeration date:** 12/27/2023
- **Last updated:** 12/27/2023