Organization
LUNA WOMEN'S WELLNESS AND BIRTH CENTER PC
Active
Organization
LUNA WOMEN'S WELLNESS AND BIRTH CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLLE MARIE UBAN PHD, APRN, CNM (OWNER/MIDWIFE DIRECTOR)
(218) 828-7773
Entity
Organization
Contact information
Practice address
117 GILLIS AVE NE, BRAINERD, MN 56401-3131
(218) 828-7773
(218) 828-2976
Mailing address
117 GILLIS AVE NE, BRAINERD, MN 56401
(218) 828-7773
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
32831
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902103658
INDIVIDUAL NPI
MN
Enumeration date
10/25/2016
Last updated
07/21/2022
Update your record
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