Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175M00000X | Lay Midwife | MW00000267 | WA |
Y | 176B00000X | Midwife | MW00000267 | WA |
NPI | 1083705586 |
---|---|
Provider Name | Dana Kaye Combest |
First Address | Gifford, WA 99131-9711 |
Second Address | Chewelah, WA 99109-9203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 05/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7112121 | (05) | WA |