Healthcare Provider Details

I. General information

NPI: 1811611437
Provider Name (Legal Business Name): FORWARD MIDWIFERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 09/27/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 H ST NW STE 200
WASHINGTON DC
20005-4706
US

IV. Provider business mailing address

1331 H ST NW STE 200
WASHINGTON DC
20005-4706
US

V. Phone/Fax

Practice location:
  • Phone: 559-422-7741
  • Fax:
Mailing address:
  • Phone: 559-422-7741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIE PITNEY
Title or Position: CEO
Credential: CNM, WHNP-BC
Phone: 559-422-7741