Organization
WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ CENTRAL LLC
Active
Organization
WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ CENTRAL LLC
Active
Other names
Willow AZ Central Midwives
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE ORTEGA CNM (CO-OWNER)
(480) 565-5944
Entity
Organization
Contact information
Practice address
1197 E OAK ST, PHOENIX, AZ 85006-1662
(480) 565-5990
Mailing address
2045 S VINEYARD STE 136, MESA, AZ 85210-6891
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
10/10/2019
Last updated
05/21/2025
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