Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 439 | MN |
NPI | 1023626256 |
---|---|
Provider Name | Katelyn Neufeld |
First Address | Waconia, MN 55387-1753 |
Second Address | Waconia, MN 55387 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2020 |
Last Update Date | 14/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CNM06464 | AMERICAN MIDWIFERY CERTIFICATION BOARD (01) | |
CNM06464 | AMERICAN MIDWIFERY CERTIFICATION BOARD (01) | MN |