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Individual

ANNE W WHEATLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1812 S J ST, #120, TACOMA, WA 98405-4964
(253) 207-4890
(253) 207-4871
Mailing address
1812 S J ST, #120, TACOMA, WA 98405-4964
(253) 207-4890
(253) 207-4871

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP30006588
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0176351
STATE L&I
WA
01
8931117
STATE CRIME VICTIMS
WA
05
9638628
WA
Enumeration date
08/10/2006
Last updated
05/02/2011
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