MIDWIFE360 LLC NPI 1538587332

NPI Information

NPI: 1538587332
Provider Name: MIDWIFE360, LLC

Doing Business As: MIDWIFE360, LLC

Classification: Nurse Practitioner - 363LX0001X
Entity Type: Organization

Specialization: Obstetrics & Gynecology

CLIA Number: 10D2076978

Address:
3621 1/2 S DIXIE HWY
WEST PALM BEACH, FL
ZIP 33405
Phone: (561) 705-1022
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MIDWIFE360, LLC is an obstetrics and gynecology nurse practitioner in West Palm Beach, FL. MIDWIFE360, LLC NPI is 1538587332. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Midwife360, Llc.

The provider's business location address is:

3621 1/2 S DIXIE HWY
WEST PALM BEACH, FL
ZIP 33405-227
Phone: (561) 705-1022
Fax: (561) 530-2066

The provider's authorized official is Paula Fadwah Halaby .
The authorized official title is Owner and has the following contact phone number (561) 558-7198.

The CLIA number assigned to this NPI record is 10D2076978 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2014 and was last updated on 11/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	ARNP9247125	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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