Organization
PROVIDENCE MIDWIFERY
Active
Organization
PROVIDENCE MIDWIFERY
Active
Parent organization
HUMANAE VITAE INC
Other names
Providence Midwifery
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUMANAE VITAE INC
Authorized official
JENNIFER TERESA MICHELLE DAVIDSON LM, CPM (EXECUTIVE DIRECTOR, MIDWIFE)
(650) 622-7069
Entity
Organization
Contact information
Practice address
7760 MAIN ST, MIDDLETOWN, VA 22645-9500
(760) 208-5860
Mailing address
7760 MAIN ST, MIDDLETOWN, VA 22645-9500
(540) 622-7069
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
12/09/2023
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