Organization
WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ, LLC
Active
Parent organization
WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ, LLC
Other names
Willow Central
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ, LLC
Authorized official
DR. DIANE M ORTEGA DNP, CNM (CEO)
(480) 565-5990
Entity
Organization
Contact information
Practice address
1197 E OAK ST, PHOENIX, AZ 85006-1662
(480) 565-2165
Mailing address
2045 S VINEYARD STE 136, MESA, AZ 85210-6891
(480) 565-5990
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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