Audrey Eileen Small, CNM

NPI #1164630042 in Ketchikan, Alaska

Provider Information

NPI Number: 1164630042
Entity Type: Individual
Name: Audrey Eileen Small, CNM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife
Credential: CNM
Enumeration Date: May 21, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 355 CARLANNA LAKE RD LOWR
City: Ketchikan
State: Alaska
ZIP Code: 99901-5614
Phone: (907) 225-1231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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