Provider Demographics
NPI:1346560877
Name:NEW LIFE MIDWIFERY
Entity Type:Organization
Organization Name:NEW LIFE MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:CDM
Authorized Official - Phone:907-745-4766
Mailing Address - Street 1:PO BOX 4263
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-4263
Mailing Address - Country:US
Mailing Address - Phone:907-745-4766
Mailing Address - Fax:907-745-4766
Practice Address - Street 1:231 E SWANSON AVE
Practice Address - Street 2:SUITE 26
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7056
Practice Address - Country:US
Practice Address - Phone:907-232-1664
Practice Address - Fax:907-373-3672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA32176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKNM44021Medicaid
AKNM0007Medicaid