Provider Demographics
NPI:1902472798
Name:EMPOWERED MIDWIFERY AND WELLNESS, LLC
Entity Type:Organization
Organization Name:EMPOWERED MIDWIFERY AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIMER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, CNM
Authorized Official - Phone:320-335-1709
Mailing Address - Street 1:22013 COUNTY ROAD 10
Mailing Address - Street 2:
Mailing Address - City:BARRETT
Mailing Address - State:MN
Mailing Address - Zip Code:56311-1131
Mailing Address - Country:US
Mailing Address - Phone:320-335-1709
Mailing Address - Fax:
Practice Address - Street 1:621 HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-1815
Practice Address - Country:US
Practice Address - Phone:320-335-1709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care