Provider Demographics
NPI:1508229063
Name:CARMEL MIDWIFERY AND WOMEN'S HEALTH, LLC
Entity Type:Organization
Organization Name:CARMEL MIDWIFERY AND WOMEN'S HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:317-437-3681
Mailing Address - Street 1:3802 W 96TH ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-2921
Mailing Address - Country:US
Mailing Address - Phone:317-437-3681
Mailing Address - Fax:855-279-1781
Practice Address - Street 1:3802 W 96TH ST
Practice Address - Street 2:SUITE 310
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-2921
Practice Address - Country:US
Practice Address - Phone:317-437-3681
Practice Address - Fax:855-279-1781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN09000232A367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty