Healthcare Provider Details

I. General information

NPI: 1740159607
Provider Name (Legal Business Name): URBAN MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5622 W PALMAIRE AVE
GLENDALE AZ
85301-2510
US

IV. Provider business mailing address

5622 W PALMAIRE AVE
GLENDALE AZ
85301-2510
US

V. Phone/Fax

Practice location:
  • Phone: 623-748-7655
  • Fax: 602-926-0999
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIANNA HOLLAND
Title or Position: OWNER/ HEAD MIDWIFE
Credential: CNM
Phone: 623-745-4577