Individual
MRS. KATHERINE DAWN GEROSIN-SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
7437 W KERRY DR, BOISE, ID 83714-2080
(208) 412-4126
Mailing address
7437 W KERRY DR, BOISE, ID 83714-2080
(208) 412-4126
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-122
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MID-122
MIDWIFE
ID
Enumeration date
11/01/2021
Last updated
11/01/2021
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