Healthcare Provider Details

I. General information

NPI: 1396315388
Provider Name (Legal Business Name): SAFE HAVEN MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 05/16/2022
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 S WALTER REED DR UNIT B
ARLINGTON VA
22206-1207
US

IV. Provider business mailing address

2505 S WALTER REED DR UNIT B
ARLINGTON VA
22206-1207
US

V. Phone/Fax

Practice location:
  • Phone: 417-631-8292
  • Fax:
Mailing address:
  • Phone: 417-631-8292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: CASEY MORROW
Title or Position: OWNER
Credential: CNM
Phone: 417-631-8292