Clarksville Midwifery, LLC
Clinic/Center, Health Services in Clarksville, TN. Organization (NPI-2).
NPI number1508335696
StatusActive
Last updated in NPPESNov 19, 2018
Details
- NPI
- 1508335696
- Entity type
- Organization (NPI-2)
- Legal business name
- Clarksville Midwifery, LLC
- Organization subpart
- No
- Enumeration date
- Nov 19, 2018
- Last updated
- Nov 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
| 176B00000X | Midwife | – | – | |
| 367A00000X | Advanced Practice Midwife | – | – |
Practice location
1477 Tiny Town Rd Ste 252Clarksville, TN 37042-7202
Phone 931-820-2646 · Fax 931-241-5431
Mailing address
1477 Tiny Town Rd Ste 252Clarksville, TN 37042-7202
Phone 931-820-2646 · Fax 931-241-5431
Authorized official
Christine Louise Peterson
Owner
2108962241
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