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

CARISSA ELLEN CHAMBERLAIN, CPM, LM

Active

CARISSA ELLEN CHAMBERLAIN, CPM, LM is a Midwife healthcare provider located in MCCALL, Idaho. NPI 1316556277 is currently active in the NPPES registry. Verify at CMS.

Midwife · MCCALL, ID

Registration Details

NPI Number
1316556277
Provider Type
Individual
Gender
Female
NPI Issued
Jul 27, 2020 (6.0147539709962 yrs)
Last Updated
Jul 27, 2020
License
MID-105 (ID)

Practice Information

Address
505 BOYDSTUN ST
MCCALL, ID, 836383403
Browse ID providers · Browse ZIP 83638
Phone
2086152273
Fax
2086306303
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.