NPI 1154657096

Ian Penwell, CPM

Practitioner Midwife Boise, ID

Practice location

Address: 2829 N Citrus Pl, Boise, ID 83713-5185
Phone: (208) 585-8788
Fax: (208) 629-5614

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X

Other Midwife providers in Idaho →

Registry record

NPI: 1154657096
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2009
Record last updated: 28 Oct 2009

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.