Individual
ERIN LEIGH ETHERIDGE-BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
900 E WALNUT ST STE 10, CARBONDALE, IL 62901-3132
(618) 997-5266
Mailing address
12291 76TH RD N, WEST PALM BEACH, FL 33412-2277
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209030985
IL
367A00000X
Advanced Practice Midwife
CNM2515
FL
Other
Enumeration date
03/13/2015
Last updated
01/21/2025
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