Organization
MOUNTAIN SEA MIDWIFERY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER FORBES CPM, CDM, BSM (OWNER/MIDWIFE)
(907) 299-5669
Entity
Organization
Contact information
Practice address
53254 MERIMAC, FRITZ CREEK, AK 99603-6024
(907) 299-5669
(907) 782-4394
Mailing address
PO BOX 15024, FRITZ CREEK, AK 99603
(907) 299-5669
(907) 782-4394
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
74
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1599851
—
AK
Enumeration date
02/04/2016
Last updated
02/04/2016
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