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Organization

TREASURE VALLEY MIDWIVES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON R KELLEY (ADMINISTRATIVE DIRECTOR)
(208) 343-2079
Entity
Organization

Contact information

Practice address
207 W WASHINGTON ST, BOISE, ID 83702-5989
(208) 343-2079
(208) 343-6828
Mailing address
207 W WASHINGTON ST, BOISE, ID 83702-5989
(208) 343-2079
(208) 343-6828

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
176B00000X
Midwife
261QB0400X
Birthing Clinic/Center
Primary
367A00000X
Advanced Practice Midwife

Other

Enumeration date
02/03/2007
Last updated
06/17/2025
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