Individual
MS. WENDI HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 706-3220
(208) 706-3221
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
041308171
IL
286500000X
Military Hospital
—
—
367A00000X
Advanced Practice Midwife
209.010127
IL
367A00000X
Advanced Practice Midwife
Primary
62588
ID
367A00000X
Advanced Practice Midwife
APRN11029418
FL
Other
Enumeration date
03/05/2012
Last updated
08/30/2024
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