Individual
MICHELLE GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM, CDM
Contact information
Practice address
6851 VAN GORDER DR, WASILLA, AK 99623
(907) 231-7877
(907) 231-7877
Mailing address
MOSAIC MIDWIFERY, LLC, 4900 E PALMER-WASILLA HWY, STE 106 PMB 704, WASILLA, AK 99654-5915
(405) 532-4067
(907) 231-7877
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
214720
AK
176B00000X
Midwife
MIDW0020
OK
Other
Enumeration date
02/03/2016
Last updated
11/22/2023
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