Provider Demographics
NPI:1689482887
Name:AYA BIRTH & COMMUNITY WELLNESS PLLC
Entity type:Organization
Organization Name:AYA BIRTH & COMMUNITY WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRAIMAH
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:919-299-3050
Mailing Address - Street 1:1412 HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3353
Mailing Address - Country:US
Mailing Address - Phone:919-299-3050
Mailing Address - Fax:919-999-2493
Practice Address - Street 1:1412 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3353
Practice Address - Country:US
Practice Address - Phone:919-299-3050
Practice Address - Fax:919-999-2493
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AYA BIRTH & COMMUNITY WELLNESS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty