Provider Demographics
NPI:1366061244
Name:VALOR MIDWIFERY SERVICES
Entity type:Organization
Organization Name:VALOR MIDWIFERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:YANAGAWA
Authorized Official - Suffix:
Authorized Official - Credentials:CDM
Authorized Official - Phone:907-748-1250
Mailing Address - Street 1:7060 E WOLF LAKE DR
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-9319
Mailing Address - Country:US
Mailing Address - Phone:907-748-1250
Mailing Address - Fax:
Practice Address - Street 1:7060 E WOLF LAKE DR
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-9319
Practice Address - Country:US
Practice Address - Phone:907-748-1250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty