Healthcare Provider Details

I. General information

NPI: 1508275280
Provider Name (Legal Business Name): SARAH RACHEL WEINSTEIN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2014
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3844 E PIMA ST
TUCSON AZ
85716-3308
US

IV. Provider business mailing address

2006 N TUCKER DR
TUCSON AZ
85716-3031
US

V. Phone/Fax

Practice location:
  • Phone: 520-477-7752
  • Fax:
Mailing address:
  • Phone: 818-389-2664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number238797
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number684
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: