| Hannah Elisabeth Underdahl, RN, MSN, CNM, WHNP | |
|
6565 W Emerald St, Boise, ID 83704-8737 | |
| (208) 514-2510 | |
| (208) 375-2217 |
| Full Name | Hannah Elisabeth Underdahl |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 6565 W Emerald St, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073952016 | NPI | - | NPPES |
| 1073952016 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | CNM69A (Idaho) | Primary |
| 363LW0102X | Nurse Practitioner - Women's Health | NP1323A (Idaho) | Secondary |
| Entity Name | Full Circle Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841490075 PECOS PAC ID: 6709986797 Enrollment ID: O20070924000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Elisabeth Underdahl, RN, MSN, CNM, WHNP 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 514-2500 | Hannah Elisabeth Underdahl, RN, MSN, CNM, WHNP 6565 W Emerald St, Boise, ID 83704-8737 Ph: (208) 514-2510 |
Sophie Tobeck, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 207 W Washington St, Boise, ID 83702 Phone: 208-343-2079 Fax: 208-343-6828 | |
Ashley Rochelle Lanham, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 207 W Washington St, Boise, ID 83702 Phone: 208-343-2079 Fax: 208-343-6868 | |
Mrs. Megan Ashley Kitterman, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 333 N 1st St Ste 260, Boise, ID 83702 Phone: 208-345-3136 Fax: 208-345-0984 | |
Ms. Rebekah G Fayette, CNM, PMHNP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 4477 W Emerald St Ste C200, Boise, ID 83706 Phone: 208-780-9295 Fax: 855-490-9559 | |
Margaret L Widener, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6140 Curtisian Ave, Suite 100, Boise, ID 83704 Phone: 208-302-1200 Fax: 208-302-1255 | |
Georgianna T Ainslie, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 5966 Curtisian Ave, Boise, ID 83704 Phone: 208-375-8100 Fax: 208-373-2643 |