NPI 1033961180

Crystal Lynn La Rose, CNM

Practitioner Advanced Practice Midwife Whiteriver, AZ

Practice location

Address: PO Box 860, Whiteriver, AZ 85941-0860
Phone: (928) 338-4911
Mailing address: 4040 Trotwood Dr, Lake Havasu City, AZ 86406-8007

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 223670 (AZ)

Other Advanced Practice Midwife providers in Arizona →

Registry record

NPI: 1033961180
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2024
Record last updated: 2 Apr 2024

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.