| NPI | 1083754634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KRISTINE STEWART-BANBURY Owner 901-292-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: TN CPM0000000030.) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TN APN 10920) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-11-30 |