Provider Demographics
NPI:1891304028
Name:PEACE BIRTH AND WELLNESS
Entity Type:Organization
Organization Name:PEACE BIRTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:EL
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:267-977-6823
Mailing Address - Street 1:615 OAK SHADE AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1713
Mailing Address - Country:US
Mailing Address - Phone:267-977-6823
Mailing Address - Fax:
Practice Address - Street 1:615 OAK SHADE AVE
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1713
Practice Address - Country:US
Practice Address - Phone:267-977-6823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-23
Last Update Date:2020-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty