Healthcare Provider Details

I. General information

NPI: 1669111399
Provider Name (Legal Business Name): RENEWAL CENTER FOR BIRTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 06/07/2022
Certification Date: 06/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16700 N THOMPSON PEAK PKWY STE 130
SCOTTSDALE AZ
85260-2384
US

IV. Provider business mailing address

16700 N THOMPSON PEAK PKWY STE 130
SCOTTSDALE AZ
85260-2384
US

V. Phone/Fax

Practice location:
  • Phone: 480-454-4490
  • Fax: 480-546-5433
Mailing address:
  • Phone: 480-454-4490
  • Fax: 480-546-5433

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: DR. MICHELLE ANNE ARISTIZABAL
Title or Position: ADMINISTRATIVE AND MEDICAL DIRECTOR
Credential: MD
Phone: 602-330-9843