Provider Demographics
NPI:1013649706
Name:INFORMED PREGNANCY AND BIRTH COLLECTIVE LLC
Entity Type:Organization
Organization Name:INFORMED PREGNANCY AND BIRTH COLLECTIVE LLC
Other - Org Name:INFORMED PREGNANCY AND BIRTH COLLECTIVE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GALLO
Authorized Official - Suffix:
Authorized Official - Credentials:CPD
Authorized Official - Phone:401-525-0577
Mailing Address - Street 1:41 SHEFFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-1617
Mailing Address - Country:US
Mailing Address - Phone:401-525-0577
Mailing Address - Fax:
Practice Address - Street 1:41 SHEFFIELD AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-1617
Practice Address - Country:US
Practice Address - Phone:401-525-0577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-30
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty