NPI 1518567874

Dominique Wilson, CNM

Practitioner Midwife Goodyear, AZ

Practice location

Address: 1170 N Estrella Pkwy STE A107, Goodyear, AZ 85338-9276
Phone: (623) 263-0105
Fax: (623) 292-8825

Registered specialties (2)

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 250020 (AZ)

Other Midwife providers in Arizona →

Midwife

Other Service Providers Taxonomy 176B00000X

Registry record

NPI: 1518567874
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Oct 2020
Record last updated: 18 Mar 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.