Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KASHA NICHOLE DEROOS, LM, CPM
Active Sole ProprietorKASHA NICHOLE DEROOS, LM, CPM is a Midwife, Lay healthcare provider located in HAYDEN, Idaho. NPI 1801548359 is currently active in the NPPES registry. Verify at CMS.
Midwife, Lay · HAYDEN, ID
Registration Details
- NPI Number
- 1801548359
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2022 (4.5081856099559 yrs)
- Last Updated
- Jan 25, 2022
- License
-
MID-128 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1076 W HAYDEN AVEHAYDEN, ID, 838358793Browse ID providers · Browse ZIP 83835
- Phone
- 2087722823
- Fax
- 2086252027
- Primary Specialty
-
Midwife, Lay
175M00000X
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.