BETHANY E MAINVILLE-BROOKS

PHOENIX, AZ
NPI1922620590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: AZ  241079)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: AZ  CNP241079)
Enumeration Date2020-05-17
Last Update Date2023-06-26
Business Address
BETHANY E MAINVILLE-BROOKS CNM
650 W MARYLAND AVE STE 1
PHOENIX, AZ 85013-1399
Phone number: 602-792-0225
Mailing Address
BETHANY E MAINVILLE-BROOKS CNM
PO BOX 748860
ATLANTA, GA 30374
Phone number: 602-240-2401