Provider Demographics
NPI:1407511553
Name:STOLTZ, DEVIN (LM, CPM)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:
Last Name:STOLTZ
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 LAND OAKS DR APT 304
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-2933
Mailing Address - Country:US
Mailing Address - Phone:205-410-7665
Mailing Address - Fax:
Practice Address - Street 1:8528 CEDAR BARK CIR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35206-3528
Practice Address - Country:US
Practice Address - Phone:205-853-0730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-03
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0030176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife