Provider Demographics
NPI:1588253934
Name:GENTLE SPIRIT HOME BIRTH MIDWIFERY
Entity type:Organization
Organization Name:GENTLE SPIRIT HOME BIRTH MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:SAKINA
Authorized Official - Middle Name:
Authorized Official - Last Name:O'UHURU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:704-420-0424
Mailing Address - Street 1:130 SHARON TOWNSHIP LN APT 504
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-4392
Mailing Address - Country:US
Mailing Address - Phone:201-304-3248
Mailing Address - Fax:866-308-6063
Practice Address - Street 1:2820 SELWYN AVE STE 130
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-1786
Practice Address - Country:US
Practice Address - Phone:704-420-0420
Practice Address - Fax:866-308-6063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service