Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 36369 | MT |
Y | 176B00000X | Midwife | B121733 | IA |
NPI | 1164688206 |
---|---|
Provider Name | Anne R. Forcey |
First Address | Waterloo, IA 50702-5401 |
Second Address | Waterloo, IA 50702-5401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2008 |
Last Update Date | 06/01/2022 |