Healthcare Provider Details

I. General information

NPI: 1639981350
Provider Name (Legal Business Name): ISABELLA DESBARRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2025
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9305 W THOMAS RD STE 405
PHOENIX AZ
85037-3369
US

IV. Provider business mailing address

416 21ST AVE S
NASHVILLE TN
37203-2455
US

V. Phone/Fax

Practice location:
  • Phone: 615-343-2683
  • Fax: 623-292-8825
Mailing address:
  • Phone: 615-343-2683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number334162
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: