# PEACEFUL SOURCE MIDWIFERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326539628
- **Authorized official:** LAURA S GIBB CNM (OWNER)
- **Authorized official phone:** (317) 519-7661

## Contact information

- **Practice address:** 1139 CANTERBURY CT., UNIT B, INDIANAPOLIS, IN 46260
- **Practice address phone:** (317) 519-7661
- **Practice address fax:** (317) 927-8620
- **Mailing address:** 1139 CANTERBURY CT., UNIT B, INDIANAPOLIS, IN 46260
- **Mailing address phone:** (317) 519-7661
- **Mailing address fax:** (317) 927-8620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 09000274A | IN | Yes |

## Other

- **Enumeration date:** 05/22/2018
- **Last updated:** 05/22/2018