MACHELLE PETERSON, CNM

Advanced Practice Midwife

Active Individual
NPI: 1689216095

Practice Address

468 LONESOME DOVE LN
Tensed, ID 83870

Phone: (208) 874-3095

Specialties

Specialty Code Primary License
Advanced Practice Midwife 367A00000X Yes 62928 (ID)

Frequently Asked Questions

NPI 1689216095 is the National Provider Identifier for MACHELLE PETERSON, CNM, a Advanced Practice Midwife provider located in Tensed, ID. This NPI was enumerated on October 17, 2019.
MACHELLE PETERSON, CNM practices at 468 LONESOME DOVE LN, Tensed, ID 83870.

Quick Facts

NPI
1689216095
Type
Individual
Enumerated
Oct 17, 2019
Last Updated
Nov 6, 2023

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