Individual
MRS. LISA GARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
493347
CA
367A00000X
Advanced Practice Midwife
Primary
202101553NP-PP
OR
367A00000X
Advanced Practice Midwife
235668
CA
367A00000X
Advanced Practice Midwife
APRN002228
NV
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202101553NP-PP
OREGON LICENSE
OR
Enumeration date
10/02/2009
Last updated
09/20/2023
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