Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW60555046 | WA |
NPI | 1154797256 |
---|---|
Provider Name | Carly Meiser |
First Address | Seattle, WA 98103-7951 |
Second Address | Seattle, WA 98103-7951 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2015 |
Last Update Date | 23/11/2015 |