Provider Demographics
NPI:1609440551
Name:STAND & DELIVER MIDWIFERY, LLC
Entity Type:Organization
Organization Name:STAND & DELIVER MIDWIFERY, LLC
Other - Org Name:STAND & DELIVER FAMILY BIRTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CNM
Authorized Official - Prefix:MRS
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, CNM
Authorized Official - Phone:850-380-9335
Mailing Address - Street 1:975 ROYCE ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2463
Mailing Address - Country:US
Mailing Address - Phone:850-361-7250
Mailing Address - Fax:850-610-4277
Practice Address - Street 1:975 ROYCE ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2463
Practice Address - Country:US
Practice Address - Phone:850-361-7250
Practice Address - Fax:850-610-4277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-15
Last Update Date:2024-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing