Erin Leigh Etheridge-Bagley, CNM Valid NPI

Individual provider · Advanced Practice Midwife · Carbondale, IL

NPI

1417340530

Type

Individual (Type 1)

Primary specialty

Advanced Practice Midwife

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367A00000X

License number

209030985 (IL)

Sex

Female

Sole proprietor

Yes

Enumerated

2015-03-13

Last updated

2025-01-21