Mary Elaine Bernabe, CPM
Individual provider Active NPI Lay Midwife · Yacolt, WA
NPI 1093933012 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093933012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lay Midwife 175M00000X
- Practice address
- 507 NE Twin Falls Ave
Yacolt, WA 98675-0499 - Phone
- (360) 608-7590
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | Yes |
Addresses
Primary practice location
507 NE Twin Falls Ave
Yacolt, WA 98675-0499
Mailing address
PO Box 302
Yacolt, WA 98675-0499
Phone (360) 608-7590
Other providers in Yacolt, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.