Leila S Poland Wyatt, CPM, LM, MIDWIFE

Individual provider Active NPI Midwife · Folsom, LA

NPI 1124889423 · NPPES record last updated Aug 24, 2026

Key facts

NPI
1124889423
Entity type
Individual (NPI type 1)
Primary specialty
Midwife 176B00000X
Practice address
81498 Dale Dr
Folsom, LA 70437-3017
Phone
(352) 409-4222
NPI assigned
Jan 23, 2024
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Midwife 176B00000X LA Yes

Addresses

Primary practice location

81498 Dale Dr
Folsom, LA 70437-3017

Mailing address

81498 Dale Dr
Folsom, LA 70437-3017
Phone (352) 409-4222

Other providers in Folsom, LA

All providers in Folsom, LA · Midwife in Louisiana

Sources for this page

Verify at the official NPI Registry.