Healthcare Provider Details

I. General information

NPI: 1265771497
Provider Name (Legal Business Name): BETHANY JOY GARCIA CNM APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2013
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 E 91ST STREET BREATHE BIRTH AND WELLNESS SUITE A
TULSA OK
74137
US

IV. Provider business mailing address

4140 W MEMORIAL RD STE 321
OKLAHOMA CITY OK
73120-8300
US

V. Phone/Fax

Practice location:
  • Phone: 918-250-2229
  • Fax: 918-586-4528
Mailing address:
  • Phone: 405-748-4726
  • Fax: 405-607-8497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM1296
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number88937
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: