Provider Demographics
NPI:1467978957
Name:BELLA DONNA BIRTH & WOMEN'S HEALTH, PLLC
Entity Type:Organization
Organization Name:BELLA DONNA BIRTH & WOMEN'S HEALTH, PLLC
Other - Org Name:BELLA DONNA MIDWIFERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RHUDE
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:252-229-0228
Mailing Address - Street 1:310 NEW BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-4756
Mailing Address - Country:US
Mailing Address - Phone:910-621-4266
Mailing Address - Fax:910-613-0382
Practice Address - Street 1:310 NEW BRIDGE ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-4756
Practice Address - Country:US
Practice Address - Phone:910-621-4266
Practice Address - Fax:910-613-0382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-16
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC372176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7002070Medicaid