# DELLA VITA MIDWIFERY

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

## Provider details

- **NPI number:** 1386079572
- **Authorized official:** MS. BETSY CAMILLE SMITH CNM (CO-OWNER)
- **Authorized official phone:** (360) 719-2171

## Contact information

- **Practice address:** 11801 NE 65TH ST STE C, VANCOUVER, WA 98662-5527
- **Practice address phone:** (360) 719-2171
- **Practice address fax:** (360) 719-2172
- **Mailing address:** 16107 NE 33RD AVE, RIDGEFIELD, WA 98642-9553
- **Mailing address phone:** (360) 901-7593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | AP30004086 | WA | Yes |
| 367A00000X | Advanced Practice Midwife | AP30007116 | WA | — |

## Other

- **Enumeration date:** 09/06/2013
- **Last updated:** 11/14/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1005793 | — | WA |
| 05 | — | 1044459 | — | WA |
| 01 | — | 1245255660 | NPI | — |
| 01 | — | 1497770812 | NPI | — |
| 01 | — | G8904127 | PTAN | — |
| 01 | — | G8904128 | PTAN | — |