NPI 1134140098

Andrea Young-Deciantis, CNM

Practitioner Advanced Practice Midwife Hartford, CT

Practice location

Address: 1 Main St, Hartford, CT 06106-1806
Phone: (860) 525-1900

Registered specialties (2)

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 000195 (CT)

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Midwife

Other Service Providers Taxonomy 176B00000X Licence MW00079 (RI)

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Registry record

NPI: 1134140098
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2006
Record last updated: 10 Oct 2012

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.