Organization
BIRTH AND FAMILY MIDWIFERY, LLC
Active
Other names
Birth and Family Midwifery
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ANNE WIRTZ CNM (OWNER)
(360) 425-0861
Entity
Organization
Contact information
Practice address
1514 COMMERCE AVE, LONGVIEW, WA 98632-4102
(360) 353-3822
Mailing address
PO BOX 48, CARROLLS, WA 98609-0048
(360) 749-0010
(844) 654-7171
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
09/17/2017
Last updated
03/17/2018
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