Provider Demographics
NPI:1790373264
Name:SEVEN SPRINGS MIDWIFERY PLLC
Entity Type:Organization
Organization Name:SEVEN SPRINGS MIDWIFERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUDAKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:585-271-3323
Mailing Address - Street 1:2425 CLOVER ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-4517
Mailing Address - Country:US
Mailing Address - Phone:585-271-3323
Mailing Address - Fax:585-271-3324
Practice Address - Street 1:2425 CLOVER ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-4517
Practice Address - Country:US
Practice Address - Phone:585-271-3323
Practice Address - Fax:585-271-3324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-09
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty