Ann Bellafaire, LM, CPM
Individual provider Active NPI Midwife · San Tan Valley, AZ
NPI 1417820846 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1417820846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- LM295 (AZ)
- Practice address
- 1123 E Shari St
San Tan Valley, AZ 85140-5950 - Phone
- (760) 668-2338
- NPI assigned
- Sep 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LM295 | AZ | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | LM295 | AZ | Yes |
Addresses
Primary practice location
1123 E Shari St
San Tan Valley, AZ 85140-5950
Mailing address
1123 E Shari St
San Tan Valley, AZ 85140-5950
Phone (760) 668-2338
Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.