| Luba Terrell, CNM | |
| 
					6320 W Union Hills Dr Ste A100, Glendale, AZ 85308-1099  | |
| (480) 821-3600 | |
| (480) 543-2033 | 
| Full Name | Luba Terrell | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 6320 W Union Hills Dr Ste A100, Glendale, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619251071 | NPI | - | NPPES | 
| 668996 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | AP6223 (Arizona) | Primary | 
| Entity Name | Momdoc Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184780355 PECOS PAC ID: 3375534282 Enrollment ID: O20040520000050  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Luba Terrell, CNM Po Box 6730, Chandler, AZ 85246-6730 Ph: (480) 821-3600  | Luba Terrell, CNM 6320 W Union Hills Dr Ste A100, Glendale, AZ 85308-1099 Ph: (480) 821-3600  | 
Suzanne L Halt, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 5605 W Eugie Ave Ste 11, Glendale, AZ 85304 Phone: 480-756-6000 Fax: 866-636-8770  | |
Dr. Marianna Holland, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 5622 W Palmaire Ave, Glendale, AZ 85301 Phone: 623-748-7655 Fax: 602-926-0999  | |
Mrs. Kristin Nicole Stark, MSN, CNM, WHNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-978-1500 Fax: 602-978-8944  |