NPI 1760859375

Gwenivere Stanton Olsen

Practitioner Advanced Practice Midwife Plymouth, MA

Practice location

Address: 275 Sandwich St, Plymouth, MA 02360-2183
Phone: (909) 702-3935
Mailing address: 40 Obery St Attn: Kristy Glavin, Beth Israel Deaconess Obgyn, Plymouth, MA 02360-2196

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence RN2301907 (MA)

Other Advanced Practice Midwife providers in Massachusetts →

Registry record

NPI: 1760859375
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2015
Record last updated: 31 Aug 2015

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.