Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 29 | MT |
NPI | 1073896924 |
---|---|
Provider Name | Ashley Marie Hinton |
First Address | Missoula, MT 59801-3322 |
Second Address | Missoula, MT 59801-3322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2011 |
Last Update Date | 27/09/2011 |