Jean Ann Hartley, LM, CPM
Individual provider Active NPI Midwife · Zimmerman, MN
NPI 1992059018 · NPPES record last updated Apr 10, 2018
Key facts
- NPI
- 1992059018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- Practice address
- 25998 142ND St NW
Zimmerman, MN 55398-8762 - Phone
- (254) 295-7657
- NPI assigned
- Oct 29, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildflower Midwifery, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Midwife | 176B00000X | Yes |
Addresses
Primary practice location
25998 142ND St NW
Zimmerman, MN 55398-8762
Mailing address
25998 142ND St NW
Zimmerman, MN 55398-8762
Phone (254) 295-7657
Other providers in Zimmerman, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2018. 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.