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Contact Information

AUDREY E SMALL, CNM
355 CARLANNA LAKE RD LOWR
KETCHIKAN, AK99901-5614
 Phone: 907-225-1231
 Fax: 907-247-1231
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for AUDREY E SMALL · (Female)

NPI # 1164630042
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 05/21/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 524
  • AK Medicaid NM5982
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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