| NPI | 1679228837 |
|---|---|
| Former Legal Business Name | PRISM MIDWIFERY LLC |
| Entity Type | Organization |
| Authorized Contact | JOHANNA CROSSETT Midwife 907-723-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |