Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1003410861 |
---|---|
Provider Name | Julie Beth Ferdman |
First Address | Columbia, MO 65201-5759 |
Second Address | Columbia, MO 65201-5759 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2020 |
Last Update Date | 23/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
20110004 | NORTH AMERICAN REGISTRY OF MIDWIVES (01) |