NPI 1942819677

Haguerenesh Woldeyohannes, CNMMSN

Practitioner Midwife Decatur, GA

Practice location

Address: 1608 Austin Meadows Dr, Decatur, GA 30032-3887
Phone: (909) 561-2650

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 0024179116 (VA)

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Registry record

NPI: 1942819677
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2020
Record last updated: 29 Jul 2020

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.