MEDICARE: CARMEL MIDWIFERY AND WOMEN'S HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	09000232A	IN

General Provider Information

NPI Number	:	1508229063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARMEL MIDWIFERY AND WOMEN'S HEALTH, LLC

Provider Business Mailing Address
First Line	:	3802 W 96TH ST
Second Line	:	SUITE 310
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-2921
Country	:	US
Telephone Number	:	317-437-3681
Fax Number	:	855-279-1781

Provider Business Practice Location Address
First Line	:	3802 W 96TH ST
Second Line	:	SUITE 310
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-2921
Country	:	US
Telephone Number	:	317-437-3681
Fax Number	:	855-279-1781

Authorized Official
Title or Position	:	OWNER
Name	:	VICTORIA FLOYD
Credential	:	CNM
Telephone Number	:	317-437-3681

Provider Enumeration Date	:	04/01/2016
Last Update Date	:	04/01/2016

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