Provider Demographics
NPI:1225313919
Name:BIRTHRIGHT
Entity Type:Organization
Organization Name:BIRTHRIGHT
Other - Org Name:BABY'S FIRST MOMENTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRESSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VONDRAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CPM, LM
Authorized Official - Phone:870-931-5903
Mailing Address - Street 1:911 VINE ST
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-3912
Mailing Address - Country:US
Mailing Address - Phone:870-931-5903
Mailing Address - Fax:870-210-8780
Practice Address - Street 1:911 VINE ST
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-3912
Practice Address - Country:US
Practice Address - Phone:870-931-5903
Practice Address - Fax:870-210-8780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR042003176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty