Provider Demographics
NPI:1023695657
Name:SKY VALLEY MIDWIFERY, PLLC
Entity type:Organization
Organization Name:SKY VALLEY MIDWIFERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAUGEN
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:360-775-6774
Mailing Address - Street 1:2302 W DOLARWAY RD STE 3
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-8081
Mailing Address - Country:US
Mailing Address - Phone:509-566-2020
Mailing Address - Fax:360-841-7417
Practice Address - Street 1:2302 W DOLARWAY RD STE 3
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-8081
Practice Address - Country:US
Practice Address - Phone:509-566-2020
Practice Address - Fax:360-841-7417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-28
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2043444Medicaid