NPI 1114810835

Ivy Omorodion

Practitioner Advanced Practice Midwife Detroit, MI

Practice location

Address: 2799 W Grand Blvd, Detroit, MI 48202-2689
Phone: (313) 916-2600
Mailing address: 1 Ford Pl STE 3a, Detroit, MI 48202-3450

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 4704308033 (MI)

Other Advanced Practice Midwife providers in Michigan →

Registry record

NPI: 1114810835
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2025
Record last updated: 17 Nov 2025

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.