Individual
JENNIFER RENEE WAYTASHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 849-1515
Mailing address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 849-1515
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R121305-8
MN
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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