NPI 1154629954

Stephanie Etienne, CNM

Practitioner Midwife Bronx, NY

Practice location

Address: 1650 Grand Concourse, Bronx, NY 10457-7606
Phone: (718) 915-5633
Mailing address: 41 Hickory Hl, Kerhonkson, NY 12446-2113

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence F001427-1 (NY)

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Registry record

NPI: 1154629954
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Mar 2011
Record last updated: 3 Mar 2011

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.