NPI 1093391328

Isis Aziza Rose, LCPMMACLC

Practitioner Midwife Danville, IL

Practice location

Address: 217 W Williams St, Danville, IL 61832-4534
Phone: (447) 305-0166
Mailing address: 904 N Broadway Ave APT 219, Urbana, IL 61801-1760

Registered specialties (3)

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 295.001295 (IL)

Other Midwife providers in Illinois →

Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Doula

Nursing Service Related Providers Taxonomy 374J00000X

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Registry record

NPI: 1093391328
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2021
Record last updated: 29 May 2026

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.