Provider Demographics
NPI:1528550324
Name:BIRTHING ADVENTURES MIDWIFERY
Entity Type:Organization
Organization Name:BIRTHING ADVENTURES MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPLE
Authorized Official - Prefix:
Authorized Official - First Name:ALIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALER
Authorized Official - Suffix:
Authorized Official - Credentials:NP, CNM, MPH
Authorized Official - Phone:206-349-6718
Mailing Address - Street 1:524 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-2914
Mailing Address - Country:US
Mailing Address - Phone:206-349-6718
Mailing Address - Fax:415-275-3215
Practice Address - Street 1:524 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107
Practice Address - Country:US
Practice Address - Phone:206-349-6718
Practice Address - Fax:415-275-3215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-06
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA235836367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty