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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUDREY EILEEN SMALL, CNM

Active Sole Proprietor

AUDREY EILEEN SMALL, CNM is a Midwife healthcare provider located in KETCHIKAN, Alaska. NPI 1164630042 is currently active in the NPPES registry. Verify at CMS.

Midwife · KETCHIKAN, AK

Registration Details

NPI Number
1164630042
Provider Type
Individual
Gender
Female
NPI Issued
May 21, 2007 (19.232800735857 yrs)
Last Updated
Jul 9, 2007
License
524 (AK)
Sole Proprietor
Yes

Practice Information

Address
355 CARLANNA LAKE RD LOWR
KETCHIKAN, AK, 999015614
Browse AK providers · Browse ZIP 99901
Phone
9072251231
Fax
9072471231
Primary Specialty
Midwife
176B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.