Organization
CITY OF OAKS MIDWIFERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANETT MIMS (OWNER)
(919) 819-2372
Entity
Organization
Contact information
Practice address
1004 DRESSER CT STE 102, RALEIGH, NC 27609-7325
(919) 654-7309
Mailing address
1004 DRESSER CT STE 102, RALEIGH, NC 27609-7325
(919) 654-7309
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
09/06/2023
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