IndividualActive
Jetta Anderson, CPM
NPI 1689026015 · Midwife · Phoenix, AZ
Provider details
- NPI number
- 1689026015
- Entity type
- Individual
- Primary specialty
- MidwifeOther Service Providers
- Credential
- CPM
- Sex
- Female
- Sole proprietor
- No
- License
- 16060006 (AZ)
Specialties & taxonomies
Other Service Providers
Practice location
2018 E Avenida Del Sol
Phoenix, AZ 85024-8601
Phone: (602) 717-3731
Approximate (ZIP-level) locationGet directions
Mailing address
2018 E Avenida Del Sol
Phoenix, AZ 85024-8601
Registry dates
- Enumerated
- 2016-07-11
- Last updated
- 2016-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.