MEDICARE: BIRTHWISE MIDWIFERY

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	176B00000X	Midwife

General Provider Information

NPI Number	:	1588115257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIRTHWISE MIDWIFERY

Provider Business Mailing Address
First Line	:	6500 FALLS RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21209-2036
Country	:	US
Telephone Number	:	202-390-6434
Fax Number	:	443-459-4733

Provider Business Practice Location Address
First Line	:	6500 FALLS RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21209-2036
Country	:	US
Telephone Number	:	202-390-6434
Fax Number	:	443-459-4733

Authorized Official
Title or Position	:	DIRECTOR OF MIDWIFERY
Name	:	ALEXA RICHARDSON
Credential	:	CPM
Telephone Number	:	202-390-6434

Provider Enumeration Date	:	10/18/2016
Last Update Date	:	10/18/2016

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Directions to “BIRTHWISE MIDWIFERY ” Practice Location

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