Individual
MRS. ANGIE C NEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM-TN
Contact information
Practice address
304 SHENANDOAH DR, JOHNSON CITY, TN 37601-5466
(423) 434-2102
Mailing address
304 SHENANDOAH DR, JOHNSON CITY, TN 37601-5466
(423) 434-2102
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
—
—
176B00000X
Midwife
Primary
0000000014
TN
Other
Enumeration date
02/10/2007
Last updated
01/08/2016
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