NPI 1104860964

Russell S Medbery

Practitioner Advanced Practice Midwife Manchester, CT

Practice location

Address: 360 Tolland Tpke Suite 3b, Manchester, CT 06042-1771
Phone: (860) 646-1157
Fax: (860) 646-9877

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 000040 (CT)

Other Advanced Practice Midwife providers in Connecticut →

Registry record

NPI: 1104860964
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2006
Record last updated: 13 Jul 2026

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.