Individual
PAULA WIENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., C.N.M.
Contact information
Practice address
207 W WASHINGTON ST, BOISE, ID 83702-5989
(208) 343-2079
(208) 343-6828
Mailing address
207 W WASHINGTON ST, BOISE, ID 83702-5989
(208) 343-2079
(208) 343-6828
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200641212RN
OR
176B00000X
Midwife
0618262524
OR
367A00000X
Advanced Practice Midwife
Primary
CNM-51A
ID
Other
Enumeration date
02/03/2007
Last updated
09/18/2008
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