NPI 1104436195

Rocky Mountain Womens Clinic LLC

Organisation Midwife Idaho Falls, ID

Practice location

Address: 2065 E 17th St STE a, Idaho Falls, ID 83404-8042
Phone: (208) 497-0541
Fax: (208) 497-0873
Mailing address: PO Box 2578, Idaho Falls, ID 83403-2578

Authorised official

Name: Kylee Johnson
Title: Owner
Phone: (208) 497-0541

Registered specialties (2)

Midwife Primary

Other Service Providers Taxonomy 176B00000X

Other Midwife providers in Idaho →

Women's Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LW0102X

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1104436195
Entity type: Organization
NPI issued: 4 Aug 2020
Record last updated: 2 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.