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

Rebekah Fanciullo, LM, CPM

Individual provider Midwife · NPI 1851237903

Rebekah Fanciullo, LM, CPM is a Midwife in Hayden, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

1076 W Hayden Ave
Hayden, ID 83835-8793
Phone: (208) 772-2823
Fax: (208) 625-2027
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence MID-157 (ID)

Record details

NPI number1851237903
Entity typeIndividual (Type 1)
GenderFemale
Credentials LM , CPM
Sole proprietorYes
NPI enumeratedApril 28, 2026
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

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