1912146440 NPI number — NEW BEGINNINGS MIDWIFERY INC

Table of content: (NPI 1912146440)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912146440 NPI number — NEW BEGINNINGS MIDWIFERY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW BEGINNINGS MIDWIFERY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
A WOMAN'S PLACE FOR WELLNESS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912146440
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/09/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
439 WILSON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SATELLITE BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32937-2937
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
321-779-0687
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
476 HIGHWAY A1A
Provider Second Line Business Practice Location Address:
STE 2A
Provider Business Practice Location Address City Name:
SATELLITE BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32937-2331
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
321-779-0687
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/06/2009

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNSON
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
321-799-0687

Provider Taxonomy Codes

  • Taxonomy code: 207VG0400X , with the licence number:  ARNP1949352 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com