Individual
TESS WEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1072 N LIBERTY STREET, STE 100, BOISE, ID 83704
(208) 302-1200
(208) 302-1255
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642
(208) 302-1200
(208) 302-1255
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
001708
NY
367A00000X
Advanced Practice Midwife
Primary
56605
ID
Other
Enumeration date
09/19/2015
Last updated
11/09/2017
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