NPI 1417340530

Erin Leigh Etheridge-Bagley, CNM

Practitioner Advanced Practice Midwife Carbondale, IL

Practice location

Address: 900 E Walnut St STE 10, Carbondale, IL 62901-3132
Phone: (618) 997-5266
Mailing address: 12291 76th Rd N, West Palm Beach, FL 33412-2277

Registered specialties (2)

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 209030985 (IL)

Other Advanced Practice Midwife providers in Illinois →

Advanced Practice Midwife

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence CNM2515 (FL)

Registry record

NPI: 1417340530
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2015
Record last updated: 21 Jan 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.