Provider Demographics
NPI:1609209386
Name:YOUR BIRTH MIDWIFERY
Entity Type:Organization
Organization Name:YOUR BIRTH MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:CPM-TN, LM
Authorized Official - Phone:615-601-1079
Mailing Address - Street 1:1341 TIMBER VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-4236
Mailing Address - Country:US
Mailing Address - Phone:615-601-1079
Mailing Address - Fax:
Practice Address - Street 1:1341 TIMBER VALLEY DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-4236
Practice Address - Country:US
Practice Address - Phone:615-601-1079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty