Meredith Casella, CNM

Individual provider Active NPI Advanced Practice Midwife · Chinle, AZ

NPI 1396872099 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1396872099
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
AP2106 (AZ)
Practice address
Off Hwy 191 Hospital Rd
Chinle, AZ 86503
Phone
(928) 674-7001
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP2106AZMDAdvanced Practice Midwife

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP2106 AZ Yes

Addresses

Primary practice location

Off Hwy 191 Hospital Rd
Chinle, AZ 86503

Mailing address

PO Box 3886
Chinle, AZ 86503-3886

Other providers in Chinle, AZ

All providers in Chinle, AZ · Advanced Practice Midwife in Arizona

Sources for this page

Verify at the official NPI Registry.