NPI Code Details Logo

NPI 1740152917

NPI 1740152917 : AS YOU WISH MIDWIFERY LLC : GILBERT, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1740152917
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AS YOU WISH MIDWIFERY LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/18/2025
-----------------------------------------------------
    Last Update Date     |    09/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    875 N GREENFIELD RD STE 101 
-----------------------------------------------------
    City                 |    GILBERT
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85234-5044
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    480-664-7463
-----------------------------------------------------
    Fax                  |    480-612-0116
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    875 N GREENFIELD RD STE 101 
-----------------------------------------------------
    City                 |    GILBERT
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85234-5044
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    480-664-7463
-----------------------------------------------------
    Fax                  |    480-612-0116
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     MELISSA  PETERIS 
-----------------------------------------------------
    Credential           |    CPM
-----------------------------------------------------
    Telephone            |    480-664-7463
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    176B00000X
-----------------------------------------------------
    Taxonomy Name        |    Midwife
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.