NPI 1366065070

Willow Midwife Center for Birth and Wellness Az, LLC

Organisation Advanced Practice Midwife Mesa, AZ

Practice location

Address: 2045 S Vineyard STE 136, Mesa, AZ 85210-6891
Phone: (480) 565-5990

Authorised official

Name: Diane M Ortega
Title: Owner
Phone: (480) 565-5990

Registered specialties (3)

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X

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Obstetrics Physician

Allopathic & Osteopathic Physicians Taxonomy 207VX0000X

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Women's Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LW0102X

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Registry record

NPI: 1366065070
Entity type: Organization
NPI issued: 28 May 2020
Record last updated: 28 May 2020

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.