Individual
MRS. MIRANDA NICOLE WENTLANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSM, LM, CPM
Contact information
Practice address
20696 BOND ROAD NE, BLDG C, SUITE 110, POULSBO, WA 98370-9025
(360) 779-0004
(360) 938-8791
Mailing address
134 MADRONA DR NW, GIG HARBOR, WA 98335-5927
(425) 495-3399
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
03/21/2023
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