IndividualActive
Susan Hendren, CNM
NPI 1629593165 · Advanced Practice Midwife · Boise, ID
Provider details
- NPI number
- 1629593165
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Advanced Practice Midwife367A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1072 N Liberty St Ste 100
Boise, ID 83704-8708
Phone: (208) 302-1200
Fax: (208) 302-1255
Approximate (ZIP-level) locationGet directions
Mailing address
3340 E Goldstone Dr
Meridian, ID 83642-1026
Additional practice locations (1)
- 177 Mcnabb RdMoriarty, NM 87035-5433Phone: (505) 917-6829
Registry dates
- Enumerated
- 2017-08-06
- Last updated
- 2022-06-16
- Certified
- 2022-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.