Carissa Ellen Chamberlain, CPM, LM

NPI #1316556277 in Mccall, Idaho

Provider Information

NPI Number: 1316556277
Entity Type: Individual
Name: Carissa Ellen Chamberlain, CPM, LM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Midwife
Credential: CPM, LM
Enumeration Date: Jul 27, 2020
Last Updated: Jul 27, 2020

Practice Location

Address: 505 BOYDSTUN ST
City: Mccall
State: Idaho
ZIP Code: 83638-3403
Phone: (208) 615-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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