NPI 1154645992

Vida Mia Ruiz, CNM

Practitioner Advanced Practice Midwife Brockton, MA

Practice location

Address: 63 Main St 3rd Floor, Brockton, MA 02301-4042
Phone: (508) 559-6699
Mailing address: 63 Main Street 3rd Floor, Brockton, MA 02301

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 2268111 (MA)

Other Advanced Practice Midwife providers in Massachusetts →

Registry record

NPI: 1154645992
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Mar 2010
Record last updated: 27 Dec 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.