Georgianna T Ainslie, CNM

Individual provider Active NPI Advanced Practice Midwife · Boise, ID

NPI 1073566089 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1073566089
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
N28479
Practice address
5966 Curtisian Ave
Boise, ID 83704-8801
Phone
(208) 375-8100
Fax
(208) 373-2643
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc Advanced Practice Midwife Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X N28479 Yes

Addresses

Primary practice location

5966 Curtisian Ave
Boise, ID 83704-8801

Mailing address

5966 Curtisian Ave
Boise, ID 83704-8801
Phone (208) 375-8100

Other identifiers

IdentifierTypeStateIssuer
000010017812OtherIDBLUE SHIELD
NPKT2OtherIDBLUE CROSS

Other providers in Boise, ID

All providers in Boise, ID · Advanced Practice Midwife in Idaho

Sources for this page

Verify at the official NPI Registry.