Provider Demographics
NPI:1912225954
Name:MIDWIFE SEATTLE, INC.
Entity Type:Organization
Organization Name:MIDWIFE SEATTLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE-MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, ARNP
Authorized Official - Phone:206-784-2422
Mailing Address - Street 1:10317 GREENWOOD AVE N
Mailing Address - Street 2:STE 102
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-9152
Mailing Address - Country:US
Mailing Address - Phone:206-784-2422
Mailing Address - Fax:206-782-1311
Practice Address - Street 1:10317 GREENWOOD AVE N
Practice Address - Street 2:STE 102
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9152
Practice Address - Country:US
Practice Address - Phone:206-784-2422
Practice Address - Fax:206-782-1311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW00000318176B00000X
WAMW00000316176B00000X
WAAP3003471367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty
No176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9630385Medicaid