Organization
OVER THE MOON MIDWIFERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDRA RAE NELSON CPM, LM, MS RD (MIDWIFE)
(402) 850-7644
Entity
Organization
Contact information
Practice address
731 W SIESTA WAY, PHOENIX, AZ 85041-8333
(602) 641-6734
(602) 894-0494
Mailing address
731 W SIESTA WAY, PHOENIX, AZ 85041-8333
(402) 850-7644
(602) 894-0494
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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