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

MACHELLE F. PETERSON, CNM

Active Sole Proprietor

MACHELLE F. PETERSON, CNM is a Advanced Practice Midwife healthcare provider located in TENSED, Idaho. NPI 1689216095 is currently active in the NPPES registry. Verify at CMS.

Advanced Practice Midwife · TENSED, ID

Registration Details

NPI Number
1689216095
Provider Type
Individual
Gender
Female
NPI Issued
Oct 17, 2019 (6.6804636184972 yrs)
Last Updated
Nov 6, 2023
Licenses
61016081 (WA)
62928 (ID)
Sole Proprietor
Yes

Practice Information

Address
468 LONESOME DOVE LN
TENSED, ID, 838708387
Browse ID providers · Browse ZIP 83870
Phone
2088743095
Primary Specialty
Advanced Practice Midwife
367A00000X
Additional Specialty
Advanced Practice Midwife
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.