Willow Midwife Center For Birth And Wellness Az, Llc

LBN: Willow Midwife Center For Birth And Wellness Az, Llc
Willow Midwife Center For Birth And Wellness Az, Llc is an health care organization with primary practice located at 2045 S Vineyard Ste 136 , Mesa AZ 85210-6891. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is the primary health care specialty. Willow Midwife Center For Birth And Wellness Az, Llc can be contacted via phone (480) 565-5990, or through Ortega, Diane M via phone (480) 565-5990.

Contact Information

Primary practice address
2045 S Vineyard Ste 136 Mesa AZ 85210-6891
Phone: (480) 565-5990
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ortega, Diane M Certified Nurse Midwife (CNM)
Phone: (480) 565-5990

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1366065070
LBN Legal business name Willow Midwife Center For Birth And Wellness Az, Llc
DBA Doing business as
Authorized official Ortega, Diane M Certified Nurse Midwife (CNM)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2020
Last updated May 28th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366065070 NPPES
Arizona MEDICAID 346515

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