Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1114228525 |
---|---|
Provider Name | Caralee L. Isbell |
First Address | Duluth, MN 55810-2015 |
Second Address | Duluth, MN 55810-2015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2010 |
Last Update Date | 28/03/2011 |