Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | AP7975 | AZ |
NPI | 1144605189 |
---|---|
Provider Name | Melinda B Eigenmann |
First Address | Pasadena, CA 91110-0698 |
Second Address | Phoenix, AZ 85016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2015 |
Last Update Date | 05/04/2019 |