Healthcare Provider Details

I. General information

NPI: 1013848449
Provider Name (Legal Business Name): CECELIA DESIREE WALSH CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 W PARMER LN STE 108
AUSTIN TX
78727-4111
US

IV. Provider business mailing address

3600 W PARMER LN STE 108
AUSTIN TX
78727-4111
US

V. Phone/Fax

Practice location:
  • Phone: 512-368-9370
  • Fax:
Mailing address:
  • Phone: 512-368-9370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: