Individual
MRS. MEGAN ASHLEY KITTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
333 N 1ST ST STE 260, BOISE, ID 83702-6132
(208) 345-3136
(208) 345-0984
Mailing address
333 N 1ST ST STE 260, BOISE, ID 83702-6132
(208) 345-3136
(208) 345-0984
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
58221
ID
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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