Individual
SHAMILEE MORTIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
201 W MAIN ST, GRANGEVILLE, ID 83530-1915
(208) 215-5204
Mailing address
76 LONG HAUL RD, GRANGEVILLE, ID 83530-5041
(208) 215-5204
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
8571385
ID
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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