Organization
SACRED ROOTS MIDWIFERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LYTTLE CNM (CO-OWNER/MIDWIFERY DIRECTOR)
(317) 437-3681
Entity
Organization
Contact information
Practice address
6620 PARKDALE PL, SUITE K, INDIANAPOLIS, IN 46254-5620
(317) 437-3681
(317) 552-2671
Mailing address
6620 PARKDALE PL, SUITE K, INDIANAPOLIS, IN 46254-5620
(317) 437-3681
(317) 552-2671
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000221A
IN
Other
Enumeration date
04/01/2016
Last updated
05/11/2017
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