Healthcare Provider Details

I. General information

NPI: 1427964469
Provider Name (Legal Business Name): MIDWIVES OF NORTHWEST ARKANSAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10748 W HIGH MEADOWS DR
ROGERS AR
72756-8953
US

IV. Provider business mailing address

10748 W HIGH MEADOWS DR
ROGERS AR
72756-8953
US

V. Phone/Fax

Practice location:
  • Phone: 479-595-5484
  • Fax:
Mailing address:
  • Phone: 479-595-5484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: CANDICE KILLEEN
Title or Position: OWNER
Credential: CNM
Phone: 479-595-5484