Provider Demographics
NPI:1184852212
Name:STELLAR MIDWIFERY AND FERTILITY CONSULTATION
Entity Type:Organization
Organization Name:STELLAR MIDWIFERY AND FERTILITY CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED PROFESSIONAL MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:EIRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM, ICCE, ICD
Authorized Official - Phone:503-936-5238
Mailing Address - Street 1:112 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-4961
Mailing Address - Country:US
Mailing Address - Phone:503-936-5238
Mailing Address - Fax:
Practice Address - Street 1:112 20TH AVE
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-4961
Practice Address - Country:US
Practice Address - Phone:503-936-5238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-27
Last Update Date:2009-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM247176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty