Whalio Doctors

NPI 1164630042

Audrey Eileen Small, CNM

Practitioner Midwife Ketchikan, AK

Practice location

Address
355 Carlanna Lake Rd Lowr, Ketchikan, AK 99901-5614
Phone
(907) 225-1231
Fax
(907) 247-1231
Mailing address
PO Box 5098, Ketchikan, AK 99901-0033

Registered specialties

Midwife Primary
Other Service Providers Taxonomy 176B00000X Licence 524 (AK)

Registry record

NPI
1164630042
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 May 2007
Record last updated
9 Jul 2007

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.