Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Susie Ellis, CPM, LM

Individual provider Midwife · NPI 1942620653

MS. Susie Ellis, CPM, LM is a Midwife in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2014
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Practice location Address checks out

9540 W Dorsetshire Pl
Boise, ID 83704-2229
Phone: (208) 284-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence MID-54 (ID)

Record details

NPI number1942620653
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPM , LM
Sole proprietorYes
NPI enumeratedApril 21, 2014
Last updated in NPPESApril 21, 2014

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