NPI 1063517654

Stacy Brenner, CNM

Practitioner Midwife Portland, ME

Practice location

Address: 527 Ocean Ave, Portland, ME 04103-4972
Phone: (207) 871-0666
Fax: (207) 347-7151

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence R047461 (ME)

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Registry record

NPI: 1063517654
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.