Organization
BOISE WOMEN'S HEALTH & BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE WILKES CNM (CNM/OWNER)
(208) 724-6933
Entity
Organization
Contact information
Practice address
1502 W FRANKLIN ST, BOISE, ID 83702-4028
(208) 724-6933
Mailing address
2296 N 20TH ST, BOISE, ID 83702-0833
(208) 724-6933
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
—
—
367A00000X
Advanced Practice Midwife
Primary
CNM52A
ID
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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