NPI 1083754634

Trillium Womancare LLC

Organisation Midwife Memphis, TN

Practice location

Address: 2610 Autumn Avenue, Memphis, TN 38112
Phone: (901) 292-5354
Fax: (901) 452-8088

Authorised official

Name: Amy Kristine Stewart-Banbury
Title: Owner
Phone: (901) 292-5354

Registered specialties (2)

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence CPM0000000030. (TN)

Other Midwife providers in Tennessee →

Advanced Practice Midwife

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence APN 10920 (TN)

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Registry record

NPI: 1083754634
Entity type: Organization
NPI issued: 6 Feb 2007
Record last updated: 30 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.