Provider Demographics
NPI:1902595697
Name:WHITE OWL MIDWIFERY& BIRTH SERVICES (WOMBS)
Entity Type:Organization
Organization Name:WHITE OWL MIDWIFERY& BIRTH SERVICES (WOMBS)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHER
Authorized Official - Middle Name:ALEXIS
Authorized Official - Last Name:DURHAM
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, WHNP-BC
Authorized Official - Phone:252-259-2503
Mailing Address - Street 1:606B PINETREE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-4430
Mailing Address - Country:US
Mailing Address - Phone:252-658-1553
Mailing Address - Fax:252-288-4411
Practice Address - Street 1:606B PINETREE DR
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-4430
Practice Address - Country:US
Practice Address - Phone:252-658-1553
Practice Address - Fax:252-288-4411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty