Healthcare Provider Details
I. General information
NPI: 1891504361
Provider Name (Legal Business Name): TREASURED MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/30/2024
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8687 E VIA DE VENTURA STE 101
SCOTTSDALE AZ
85258-3353
US
IV. Provider business mailing address
8687 E VIA DE VENTURA STE 101
SCOTTSDALE AZ
85258-3353
US
V. Phone/Fax
- Phone: 602-999-8406
- Fax: 602-532-7413
- Phone: 602-999-8406
- Fax: 602-532-7413
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ASHLEY
J
WILCOX
Title or Position: MIDWIFE
Credential: CPM, LM
Phone: 603-999-8406