Provider Demographics
NPI:1689461345
Name:ASPEN MIDWIFERY LLC
Entity type:Organization
Organization Name:ASPEN MIDWIFERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWDITCH
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:928-487-1238
Mailing Address - Street 1:2717 N STEVES BLVD STE 11
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-3959
Mailing Address - Country:US
Mailing Address - Phone:928-487-1238
Mailing Address - Fax:928-597-5175
Practice Address - Street 1:2717 N STEVES BLVD STE 11
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-3959
Practice Address - Country:US
Practice Address - Phone:928-487-1238
Practice Address - Fax:928-597-5175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty