Individual
ANN ELEANOR TIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
2429 ELM ST, BELLINGHAM, WA 98225-2729
(360) 734-2182
(360) 752-2498
Mailing address
2429 ELM ST, BELLINGHAM, WA 98225-2729
(360) 734-2182
(360) 752-2498
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7095706
—
WA
Enumeration date
01/15/2007
Last updated
07/09/2007
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