Organization
LUNA WOMEN'S WELLNESS AND BIRTH CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLLE M UBAN PHD, CNM, APRN (OWNER)
(218) 828-7773
Entity
Organization
Contact information
Practice address
117 GILLIS AVE NE, BRAINERD, MN 56401-3131
(218) 828-7773
(218) 828-2976
Mailing address
117 GILLIS AVE NE, BRAINERD, MN 56401-3131
(218) 828-7773
(218) 828-2976
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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