Individual
MRS. CLAUDETTE COUGHENOUR MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM CPM
Contact information
Practice address
972 S MOORSIDE AVE, KUNA, ID 83634-2586
(208) 738-6786
(707) 674-5512
Mailing address
1901 CALDWELL BLVD, #1016, NAMPA, ID 83651
(208) 738-6786
(707) 674-5512
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-125
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12280
LAMAZE
CA
01
—
97030003
NARM CERTIFIED PROFESSIONAL MIDWIFE CPM
—
01
—
MID-125
DOPL BOARD OF NURSING MIDWIFE LICENSE
ID
Enumeration date
10/13/2006
Last updated
06/22/2025
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