Organization
TRILLIUM WOMANCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY KRISTINE STEWART-BANBURY CPM-TN (OWNER)
(901) 292-5354
Entity
Organization
Contact information
Practice address
2610 AUTUMN AVENUE, MEMPHIS, TN 38112
(901) 292-5354
(901) 452-8088
Mailing address
2610 AUTUMN AVENUE, MEMPHIS, TN 38112
(901) 292-5354
(901) 452-8088
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CPM0000000030.
TN
367A00000X
Advanced Practice Midwife
APN 10920
TN
Other
Enumeration date
02/06/2007
Last updated
11/30/2012
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