| Ronda Lynn Williamson, CNM | |
|
980 W Ironwood Dr, Ste 306, Coeur D Alene, ID 83814-2668 | |
| (208) 625-4970 | |
| (208) 625-4991 |
| Full Name | Ronda Lynn Williamson |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 980 W Ironwood Dr, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225007404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | CNM38A (Idaho) | Primary |
| Entity Name | Kootenai Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
| Entity Name | Kootenai Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronda Lynn Williamson, CNM 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-5085 | Ronda Lynn Williamson, CNM 980 W Ironwood Dr, Ste 306, Coeur D Alene, ID 83814-2668 Ph: (208) 625-4970 |
Breanne Huss, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 980 W Ironwood Dr Ste 306, Coeur D Alene, ID 83814 Phone: 208-625-4970 Fax: 208-625-4991 | |
Mrs. Danielle Clarkson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 980 W Ironwood Dr Ste 306, Coeur D Alene, ID 83814 Phone: 082-625-4970 |