IndividualActive
Mya Burgoon
NPI 1699354258 · Lay Midwife · Charlotte, NC
Provider details
- NPI number
- 1699354258
- Entity type
- Individual
- Primary specialty
- Lay MidwifeOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
8000 Johnson Creek Rd
Charlotte, NC 28215-9403
Phone: (704) 258-8439
Approximate (ZIP-level) locationGet directions
Mailing address
8000 Johnson Creek Rd
Charlotte, NC 28215-9403
Registry dates
- Enumerated
- 2021-04-02
- Last updated
- 2021-04-02
- Certified
- 2021-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.