Individual
MEREDITH CASELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
OFF HWY 191 HOSPITAL RD, CHINLE, AZ 86503
(928) 674-7001
Mailing address
PO BOX 3886, CHINLE, AZ 86503-3886
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP2106
AZ
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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