Victoria Lynn Breiner, CNM

Individual provider Active NPI Advanced Practice Midwife · Hyden, KY

NPI 1689803439 · NPPES record last updated Jul 14, 2009

Key facts

NPI
1689803439
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
6070 (KY)
Practice address
130 Kate Ireland Dr
Hyden, KY 41749-9071
Phone
(606) 672-2901
NPI assigned
Jul 14, 2009
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)
Yes
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
47749KYMDInternal Medicine Physician
6070KYMDAdvanced Practice Midwife

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 6070 KY Yes

Addresses

Primary practice location

130 Kate Ireland Dr
Hyden, KY 41749-9071

Mailing address

1722 Krylon Dr.
Cincinnati, OH 45215-3737
Phone (513) 733-3237

Other providers in Hyden, KY

All providers in Hyden, KY · Advanced Practice Midwife in Kentucky

Sources for this page

Verify at the official NPI Registry.