Healthcare Provider Details

I. General information

NPI: 1578776845
Provider Name (Legal Business Name): CARRIE LA'SHA WOODWARD LICENSED MIDWIFE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CARRIE LA'SHA ALLISON COBB CPM, BSN

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 HOGAN LN STE 10
CONWAY AR
72034-7963
US

IV. Provider business mailing address

950 HOGAN LN STE 10
CONWAY AR
72034-7963
US

V. Phone/Fax

Practice location:
  • Phone: 501-517-0547
  • Fax: 501-393-5561
Mailing address:
  • Phone: 501-517-0647
  • Fax: 501-393-5561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR089351
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number032006
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: