Healthcare Provider Details

I. General information

NPI: 1508430331
Provider Name (Legal Business Name): RACHEL DOSTER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2021
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 S JENTILLY LN STE D4
TEMPE AZ
85281-5733
US

IV. Provider business mailing address

1801 S JENTILLY LN STE D4
TEMPE AZ
85281-5733
US

V. Phone/Fax

Practice location:
  • Phone: 480-692-5556
  • Fax: 480-692-5557
Mailing address:
  • Phone: 480-692-5556
  • Fax: 480-692-5557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number257829
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: