NPI 1104102276

Rebecca Ross Elizabeth Polston

Practitioner Midwife Minneapolis, MN

Practice location

Address: 3135 2nd Ave S, Minneapolis, MN 55408-3201
Phone: (612) 963-7770

Registered specialties (2)

Midwife Primary

Other Service Providers Taxonomy 176B00000X

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Lactation Consultant (Non-RN)

Other Service Providers Taxonomy 174N00000X

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Registry record

NPI: 1104102276
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Nov 2011
Record last updated: 2 Nov 2011

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.