Provider Demographics
NPI:1578628756
Name:NEW DAWN MIDWIFERY SERVICES, PC
Entity type:Organization
Organization Name:NEW DAWN MIDWIFERY SERVICES, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, MIDWIFERY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:B
Authorized Official - Last Name:VERHAEGHE
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:828-236-0032
Mailing Address - Street 1:201 CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1415
Mailing Address - Country:US
Mailing Address - Phone:828-236-0032
Mailing Address - Fax:828-236-3506
Practice Address - Street 1:201 CHARLOTTE ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1415
Practice Address - Country:US
Practice Address - Phone:828-236-0032
Practice Address - Fax:828-236-3506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC131367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7000085Medicaid
NC7000022OtherCAROLINA ACCESS #