NPI 1154666055

Violet Leona Moon, CPM

Practitioner Midwife Boise, ID

Practice location

Address: 207 W Washington St, Boise, ID 83702-5989
Phone: (208) 343-2079
Fax: (208) 343-6828

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence MID-46 (ID)

Other Midwife providers in Idaho →

Registry record

NPI: 1154666055
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Dec 2012
Record last updated: 3 Dec 2012

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.