NPI 1134013956

Elly Marie Watson, CNM

Practitioner Advanced Practice Midwife Boise, ID

Practice location

Address: 1072 N Liberty St STE 100, Boise, ID 83704-8708
Phone: (208) 302-1200
Fax: (208) 302-1255
Mailing address: PO Box 190930, Boise, ID 83719-0930

Registered specialties (2)

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 5771963 (ID)

Other Advanced Practice Midwife providers in Idaho →

Inpatient Obstetric Registered Nurse

Nursing Service Providers Taxonomy 163WX0003X Licence 46698 (ID)

Other Registered Nurse providers in Idaho →

Registry record

NPI: 1134013956
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2025
Record last updated: 28 Jul 2025

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.