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NPI Information

NPI: 1003213612
Classification: Midwife, Lay - 175M00000X
Entity Type: Organization
11257 42ND AVE
ZIP 53158
Phone: (508) 789-7718
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MOTHER EARTH YOGA is a midwife lay in Pleasant Prairie, WI. The provider is a person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. MOTHER EARTH YOGA NPI is 1003213612. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11257 42ND AVE
ZIP 53158-842
Phone: (508) 789-7718

The provider's authorized official is Holly Ann Peckskamp .
The authorized official title is Birth Doula and has the following contact phone number (508) 789-7718.

The enumeration date for this NPI number is 11/25/2014 and was last updated on 11/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175M00000XMidwife, LayYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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