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Contact Information

WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ, LLC
2045 S VINEYARD STE 136
MESA, AZ85210-6891
 Phone: 480-565-5990
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Obstetrics

207VX0000X 16 Physician/Obstetrics & Gynecology
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ, LLC

NPI # 1366065070
LBN Legal business name WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ, LLC
Authorized official DIANE ORTEGA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/28/2020
Last updated 05/28/2020 - About 6 years ago
Identifiers
AZ Medicaid 346515
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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