Healthcare Provider Details
I. General information
NPI: 1053216275
Provider Name (Legal Business Name): TEND MIDWIFERY CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
54 HOPE ST APT 3
PROVIDENCE RI
02906-2064
US
IV. Provider business mailing address
54 HOPE ST APT 3
PROVIDENCE RI
02906-2064
US
V. Phone/Fax
- Phone: 774-486-7378
- Fax: 774-209-4411
- Phone: 774-486-7378
- Fax: 774-209-4411
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 176B00000X |
| Taxonomy | Midwife |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
LARISSA
BRUM
Title or Position: MIDWIFE
Credential: CPM
Phone: 774-486-7378