Healthcare Provider Details

I. General information

NPI: 1508783192
Provider Name (Legal Business Name): GRACEFUL BEGINNINGS MIDWIFERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 E BROADWAY BLVD STE 113
TUCSON AZ
85719-5908
US

IV. Provider business mailing address

2030 E BROADWAY BLVD STE 113
TUCSON AZ
85719-5908
US

V. Phone/Fax

Practice location:
  • Phone: 520-222-6564
  • Fax: 520-300-7204
Mailing address:
  • Phone: 520-222-6564
  • Fax: 520-300-7204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: KAREN GRACE POPE
Title or Position: OWNER
Credential: CNM
Phone: 520-222-6564