Organization
NURTURED BIRTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KARLEEN FISK CDM, CPM (CHIEF EXECUTIVE OFFICER)
(907) 299-7140
Entity
Organization
Contact information
Practice address
855 SAND DOLLAR DR, KENAI, AK 99611-8818
(907) 299-7140
(833) 709-5742
Mailing address
855 SAND DOLLAR DR, KENAI, AK 99611-8818
(907) 299-7140
(833) 709-5742
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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