Brainerd Lakes Midwifery LLC
Organization Active NPI Midwife · Brainerd, MN
NPI 1295287142 · NPPES record last updated Mar 19, 2021
Key facts
- NPI
- 1295287142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Midwife 176B00000X
- License
- 1039 (MN)
- Legal business name
- BRAINERD LAKES MIDWIFERY LLC
- Practice address
- 1001 Kingwood St Ste 121
Brainerd, MN 56401-3400 - Phone
- (218) 454-0909
- Fax
- (218) 260-4321
- NPI assigned
- Oct 26, 2016
- Organization subpart
- No
Authorized official
- Name
- Ms. Sonya Katherine Hess Chamberlain, LM, CPM
- Title
- Licensed Midwife
- Phone
- (218) 454-0909
Practitioners 1
-
Sonya K Chamberlain, LM, CPM
National Provider Directory
Locations
324 S 5th St
Ste F
Brainerd, MN 56401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife |
176B00000X | 1039 | MN | Yes |
Addresses
Primary practice location
1001 Kingwood St Ste 121
Brainerd, MN 56401-3400
Mailing address
1001 Kingwood St Ste 121
Brainerd, MN 56401-3400
Phone (218) 454-0909
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730415720 | Other | MN | INDIVIDUAL PRACTITIONER NPI |
| 1039 | Other | MN | MN BOARD OF MEDICAL PRACTICE LICENSE NUMBER |
Other providers in Brainerd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2021. 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.