Individual
CONNIE J WOLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
297 N. 3855 EAST, RIGBY, ID 83442
(208) 745-7571
(208) 745-8924
Mailing address
297 N. 3855 EAST, RIGBY, ID 83442
(208) 745-7571
(208) 745-8924
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM-24A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806195000
—
ID
Enumeration date
11/20/2006
Last updated
08/11/2010
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