NPI 1699354258

Mya a Burgoon

Practitioner Lay Midwife Charlotte, NC

Practice location

Address: 8000 Johnson Creek Rd, Charlotte, NC 28215-9403
Phone: (704) 258-8439

Registered specialties

Lay Midwife Primary

Other Service Providers Taxonomy 175M00000X

Other Midwife, Lay providers in North Carolina →

Registry record

NPI: 1699354258
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2021
Record last updated: 2 Apr 2021

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.