Micaela Lara Fernandes, CNM
Advanced Practice Midwife in Phoenix, AZ. Individual provider (NPI-1).
NPI number1164028403
StatusActive
Last updated in NPPESNov 18, 2025
Details
- NPI
- 1164028403
- Entity type
- Individual (NPI-1)
- Name
- Micaela Lara Fernandes
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2020
- Certification date
- Nov 18, 2025
- Last updated
- Nov 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 251854 | AZ | Yes |
Practice location
4212 N 16th StPhoenix, AZ 85016-5319
Phone 602-263-1200 · Fax 602-263-1619
Mailing address
Po Box 95460Cleveland, OH 44101-0033
Phone 602-581-6080 · Fax 602-263-1619
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All 89 Advanced Practice Midwife providers in Phoenix · All 44,202 providers in Phoenix
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