Healthcare Provider Details
I. General information
NPI: 1528593878
Provider Name (Legal Business Name): TRULY YOU MIDWIFERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/25/2017
Last Update Date: 04/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2000 E 98TH ST N
VALLEY CENTER KS
67147-9524
US
IV. Provider business mailing address
2000 E 98TH ST N
VALLEY CENTER KS
67147-9524
US
V. Phone/Fax
- Phone: 316-655-3787
- Fax:
- Phone: 316-655-3787
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175M00000X |
| Taxonomy | Lay Midwife |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
REBECCA
WHISTLER
Title or Position: CEO/OWNER
Credential: CPM
Phone: 316-655-3787