Provider Demographics
NPI:1134738867
Name:ABUNDANT BLESSINGS MIDWIFERY INC.
Entity type:Organization
Organization Name:ABUNDANT BLESSINGS MIDWIFERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:TESSA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:714-504-2386
Mailing Address - Street 1:5213 PICCADILLY CIR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4838
Mailing Address - Country:US
Mailing Address - Phone:714-504-2386
Mailing Address - Fax:562-318-3022
Practice Address - Street 1:5213 PICCADILLY CIR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4838
Practice Address - Country:US
Practice Address - Phone:714-504-2386
Practice Address - Fax:562-318-3022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing