NPI 1427607019
Destiny Bound, LLC
Practice location
- Address
- 3825 N Salem Road, Fayetteville, AR 72704
- Phone
- (479) 409-5479
Authorised official
- Name
- Teresa Fedosky
- Title
- Senior Midwife
- Phone
- (479) 409-5479
Registered specialties
Midwife
Primary
Registry record
- NPI
- 1427607019
- Entity type
- Organization
- NPI issued
- 6 Sep 2019
- Record last updated
- 6 Sep 2019
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.