Individual
MS. MARIBETH DIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
MW010045
PA
367A00000X
Advanced Practice Midwife
Primary
AP1723
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01949426
—
PA
Enumeration date
08/17/2005
Last updated
11/15/2016
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