Healthcare Provider Details

I. General information

NPI: 1588115257
Provider Name (Legal Business Name): BIRTHWISE MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2016
Last Update Date: 10/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 FALLS RD
BALTIMORE MD
21209-2036
US

IV. Provider business mailing address

6500 FALLS RD
BALTIMORE MD
21209-2036
US

V. Phone/Fax

Practice location:
  • Phone: 202-390-6434
  • Fax: 443-459-4733
Mailing address:
  • Phone: 202-390-6434
  • Fax: 443-459-4733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: ALEXA RICHARDSON
Title or Position: DIRECTOR OF MIDWIFERY
Credential: CPM
Phone: 202-390-6434