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Contact Information

TESS WEIDNER, CNM
1072 N LIBERTY STREET
STE 100
BOISE, ID83704
 Phone: 208-302-1200
 Fax: 208-302-1255
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for TESS WEIDNER · (Female)

NPI # 1861861841
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 09/19/2015
Last updated 11/09/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 56605
  • NY License # 001708
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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