Machelle F Peterson, CNM in Tensed, ID - Advanced Practice Midwife

Machelle F Peterson, CNM is a Advanced Practice Midwife based in Tensed, Idaho. Machelle F Peterson is licensed to practice in Idaho (license number 62928) and her current practice location is 468 Lonesome Dove Ln, Tensed, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 874-3095.

NPI number for Machelle F Peterson is 1689216095 and her current mailing address is Po Box 93, Tensed, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689216095.

Contact Information

	Machelle F Peterson, CNM
	468 Lonesome Dove Ln, Tensed, ID 83870-8387
	(208) 874-3095
	Not Available

Provider's Profile

Full Name	Machelle F Peterson
Gender	Female
Speciality	Advanced Practice Midwife
Location	468 Lonesome Dove Ln, Tensed, Idaho
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1689216095
Provider Enumeration Date: 10/17/2019
Last Update Date: 11/06/2023

Medical Identifiers

Medical identifiers for Machelle F Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689216095	NPI	-	NPPES
62928	Other	ID	CNM PROVIDER LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	61016081 (Washington)	Secondary
367A00000X	Advanced Practice Midwife	62928 (Idaho)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Machelle F Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Machelle F Peterson, CNM Po Box 93, Tensed, ID 83870-0093 Ph: (208) 874-3095	Machelle F Peterson, CNM 468 Lonesome Dove Ln, Tensed, ID 83870-8387 Ph: (208) 874-3095

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Machelle F Peterson, CNM - Advanced Practice Midwife in Tensed, ID