Provider Demographics
NPI:1275993719
Name:GREAT EXPECTATIONS MIDWIFERY CARE LLC
Entity Type:Organization
Organization Name:GREAT EXPECTATIONS MIDWIFERY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE ALLYSON
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNEAU-BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-281-8482
Mailing Address - Street 1:1481 W WARM SPRINGS RD
Mailing Address - Street 2:SUITE 136
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-7633
Mailing Address - Country:US
Mailing Address - Phone:702-281-8482
Mailing Address - Fax:702-736-6247
Practice Address - Street 1:1481 W WARM SPRINGS RD
Practice Address - Street 2:SUITE 136
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-7633
Practice Address - Country:US
Practice Address - Phone:702-281-8482
Practice Address - Fax:702-736-6247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-25
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty