Organization
NEW MOON MIDWIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
METTA WEAVER (OWNER/CNM)
(208) 742-4784
Entity
Organization
Contact information
Practice address
8100 W MARIGOLD ST, BOISE, ID 83714-1301
(208) 742-4784
Mailing address
PO BOX 140846, BOISE, ID 83714-0846
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
01/22/2022
Last updated
01/22/2022
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