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NEW MOON MIDWIVES, LLC

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Company Details

Name: NEW MOON MIDWIVES, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Jan 2022 (3 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 4576402
Place of Formation: IDAHO
File Number: 801287
ZIP code: 83714
County: Ada County
Principal Address: 7437 W KERRY DR BOISE, ID 83714
Mailing Address: PO BOX 140846 BOISE, ID 83714-0846

Agent

Name Role Address
Katie Shaffer, CPM, LM Agent 412 E 41ST ST, SUITE 2, GARDEN CITY, ID 83714

Member

Name Role Address Appointed On Resigned On
KATHERINE GEROSIN-SHAFFER Member 412 E. 41ST ST, BOISE, ID 83714 2023-12-07 No data
KATIE GEROSIN-SHAFFER Member 412 E. 41ST ST, BOISE, ID 83714 2023-01-12 2023-12-07
METTA WEAVER Member 412 E 41ST ST, BOISE, ID 83714 2023-01-03 2023-01-12

National Provider Identifier

NPI Number:
1669124533
Certification Date:
2022-01-21

Authorized Person:

Name:
METTA WEAVER
Role:
OWNER/CNM
Phone:

Taxonomy:

Selected Taxonomy:
367A00000X - Advanced Practice Midwife
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006006692 2024-12-04
Annual Report 0005504603 2023-12-07
Amendment to Certificate 0005063690 2023-01-12
Annual Report 0005046870 2023-01-03
Change of Registered Office/Agent/Both (by Entity) 0004787521 2022-06-29

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Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State