Individual
MIA ELIZABETH PELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM
Contact information
Practice address
5350 TALLMAN AVE NW, SUITE 420, SEATTLE, WA 98107-5902
(206) 781-6080
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP60093356
WA
Other
Enumeration date
07/27/2007
Last updated
09/15/2014
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