=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053216275
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TEND MIDWIFERY CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/08/2026
-----------------------------------------------------
Last Update Date | 10/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 54 HOPE ST APT 3
-----------------------------------------------------
City | PROVIDENCE
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02906-2064
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 774-486-7378
-----------------------------------------------------
Fax | 774-209-4411
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 54 HOPE ST APT 3
-----------------------------------------------------
City | PROVIDENCE
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02906-2064
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 774-486-7378
-----------------------------------------------------
Fax | 774-209-4411
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MIDWIFE
-----------------------------------------------------
Name | LARISSA BRUM
-----------------------------------------------------
Credential | CPM
-----------------------------------------------------
Telephone | 774-486-7378
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 176B00000X
-----------------------------------------------------
Taxonomy Name | Midwife
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------