Healthcare Provider Details

I. General information

NPI: 1962605824
Provider Name (Legal Business Name): WOMEN FIRST MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N HIGHLAND AVE STE 5
AURORA IL
60506-1464
US

IV. Provider business mailing address

1300 N HIGHLAND AVE STE 5
AURORA IL
60506-1464
US

V. Phone/Fax

Practice location:
  • Phone: 630-897-7700
  • Fax:
Mailing address:
  • Phone: 630-897-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DEBORAH JEAN RIDDELL
Title or Position: PRESIDENT
Credential: APN CNM
Phone: 630-897-7700