Organization
METHOW MIDWIFERY AND WOMENS HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLUE E BRADLEY CNM (MANAGER)
(509) 341-4256
Entity
Organization
Contact information
Practice address
214 N GLOVER ST, TWISP, WA 98856-0503
(509) 341-4256
(253) 231-5763
Mailing address
PO BOX 503, TWISP, WA 98856-0503
(509) 341-4256
(253) 231-5763
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
AP60035365
WA
367A00000X
Advanced Practice Midwife
Primary
AP60035365
WA
Other
Enumeration date
10/28/2008
Last updated
03/01/2011
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