Provider Demographics
NPI:1154282044
Name:MAGNOLIAS MIDWIFERY LLC
Entity type:Organization
Organization Name:MAGNOLIAS MIDWIFERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUNDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARMICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:253-579-2642
Mailing Address - Street 1:PO BOX 665
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-0665
Mailing Address - Country:US
Mailing Address - Phone:253-579-2642
Mailing Address - Fax:
Practice Address - Street 1:5302 104TH ST E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98446-5330
Practice Address - Country:US
Practice Address - Phone:253-336-8311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-20
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty