Healthcare Provider Details

I. General information

NPI: 1013315498
Provider Name (Legal Business Name): ANNA MARIE TARBET LICENSED MIDWIFE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2014
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 S 16TH ST
ROGERS AR
72758-6223
US

IV. Provider business mailing address

2005 S 16TH ST
ROGERS AR
72758-6223
US

V. Phone/Fax

Practice location:
  • Phone: 417-396-8570
  • Fax:
Mailing address:
  • Phone: 417-396-8570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number042013
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: