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

JILL REENA GUSTAFSON, CNM

Active Sole Proprietor

JILL REENA GUSTAFSON, CNM is a Advanced Practice Midwife healthcare provider located in BOISE, Idaho. NPI 1992224166 is currently active in the NPPES registry. Verify at CMS.

Advanced Practice Midwife · BOISE, ID

Registration Details

NPI Number
1992224166
Provider Type
Individual
Gender
Female
NPI Issued
Sep 19, 2017 (8.7570349893843 yrs)
Last Updated
Mar 9, 2022
Licenses
56670 (ID)
56670 (ID)
Sole Proprietor
Yes

Practice Information

Address
4948 W KOOTENAI ST STE 100
BOISE, ID, 837052002
Browse ID providers · Browse ZIP 83705
Phone
2085100261
Fax
2082254243
Primary Specialty
Advanced Practice Midwife
367A00000X
Additional Specialty
Advanced Practice Midwife

Other Advanced Practice Midwife Providers in BOISE, ID

Name Credential NPI
GEORGIANNA T AINSLIE CNM 1073566089
JOANN M JOHNSON CNM 1801842257
MARGARET L WIDENER CNM 1063454437
SARAH REDBIRD COX C.N.M. 1609884014
JOAN E. BALL RN, CNM 1497818413
PAULA WIENS R.N., C.N.M. 1518005131
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.