Provider Demographics
NPI:1336751247
Name:MIDWIFERY OPTIONS LLC
Entity Type:Organization
Organization Name:MIDWIFERY OPTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, PMHNP
Authorized Official - Phone:888-382-1897
Mailing Address - Street 1:PO BOX 870777
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99687-0777
Mailing Address - Country:US
Mailing Address - Phone:907-715-2587
Mailing Address - Fax:
Practice Address - Street 1:350 W SUNFLOWER DR
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-1364
Practice Address - Country:US
Practice Address - Phone:888-382-1897
Practice Address - Fax:888-959-6529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-21
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty