Healthcare Provider Details

I. General information

NPI: 1649108200
Provider Name (Legal Business Name): 4TH TRIMESTER ARIZONA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 S KYRENE RD STE 126
TEMPE AZ
85284-2172
US

IV. Provider business mailing address

8400 S KYRENE RD STE 126
TEMPE AZ
85284-2172
US

V. Phone/Fax

Practice location:
  • Phone: 480-442-8491
  • Fax: 480-442-8491
Mailing address:
  • Phone: 480-442-8491
  • Fax: 480-442-8491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIE BEVER
Title or Position: CEO
Credential: PHD, IBCLC
Phone: 858-442-8266