NPI 1093050767

Cheyanne Wilderness Gastelum, LM

Practitioner Midwife Phoenix, AZ

Practice location

Address: 2236 E. Delgado St., Phoenix, AZ 85022
Phone: (602) 620-0025
Mailing address: 2236 E Delgado St, Phoenix, AZ 85022-5836

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 168 (AZ)

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Registry record

NPI: 1093050767
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2012
Record last updated: 6 Dec 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.