Healthcare Provider Details

I. General information

NPI: 1790742740
Provider Name (Legal Business Name): MIDWIFERY TRADITIONS & ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 01/19/2021
Certification Date: 01/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 MAINLAND RD UNIT 3
HARLEYSVILLE PA
19438-2531
US

IV. Provider business mailing address

PO BOX 125
BEDMINSTER PA
18910-0125
US

V. Phone/Fax

Practice location:
  • Phone: 215-249-9646
  • Fax: 215-249-3786
Mailing address:
  • Phone: 215-249-9646
  • Fax: 215-249-3786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW008598L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHLEEN MARY HINDLE
Title or Position: OWNER
Credential: CNM, MSM
Phone: 215-249-9646