EMMA LOREE PROVOST

CHANDLER, AZ
NPI1033987706
Former NameEMMA LOREE WHITE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: AZ  CNM301120)
Enumeration Date2023-12-13
Last Update Date2024-11-05
Business Address
Miss EMMA LOREE PROVOST CNM
1950 W FRYE RD
CHANDLER, AZ 85224-6255
Phone number: 480-895-9555
Mailing Address
Miss EMMA LOREE PROVOST CNM
1950 W FRYE RD
CHANDLER, AZ 85224-6255
Phone number: 480-895-9555