Organization
SAGE MIDWIFERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA LYNN SEWELL CPM, LM, DEM (OWNER)
(703) 662-3128
Entity
Organization
Contact information
Practice address
5663 RAVENEL LN, SPRINGFIELD, VA 22151-2427
(703) 662-3128
Mailing address
5663 RAVENEL LN, SPRINGFIELD, VA 22151-2427
(703) 662-3128
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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