Providence Midwifery

NPI #1639862964 in Middletown, Virginia

Provider Information

NPI Number: 1639862964
Entity Type: Organization
Organization Name: Providence Midwifery
Subpart: Yes (part of a larger organization)
Parent Organization: HUMANAE VITAE INC
Primary Specialty: Midwife
Enumeration Date: Jun 1, 2023
Last Updated: Dec 9, 2023

Practice Location

Address: 7760 MAIN ST
City: Middletown
State: Virginia
ZIP Code: 22645-9500
Phone: (760) 208-5860

Authorized Official

Name: JENNIFER TERESA MICHELLE DAVIDSON, LM, CPM
Title: EXECUTIVE DIRECTOR, MIDWIFE
Phone: (650) 622-7069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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