Stoddard, Wallene A

Stoddard, Wallene A is an individual health care provider with primary practice located at 270 N Linder Rd , Meridian ID 83642. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Obstetric, Inpatient, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Stoddard, Wallene A can be contacted via phone (208) 884-1223.

Contact Information

Primary practice address
270 N Linder Rd Meridian ID 83642
Phone: (208) 884-1223
Fax: (208) 887-1935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 57884 Idaho
Nursing Service Providers / Obstetric, Inpatient 163WX0003X 589572 California
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1792 California
Other Service Providers / Midwife 176B00000X 57884 Idaho

Profile Details

NPI number 1346437027
LBN Legal business name Stoddard, Wallene A
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated Nov 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346437027 NPPES
Idaho Other 57884 IDAHO BOARD OF NURSING

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