Individual
LYNNE D HIMMELREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
B093262
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0420786
—
IA
01
—
51951
WELLMARK BCBS
IA
Enumeration date
09/06/2005
Last updated
09/29/2009
Update your record
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