Ellen J Wormser CNM LNM

NPI 1043303258 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1043303258
Gender Female
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
374 GRAND AVENUE
FAIR HAVEN COMMUNITY HEALTH CTR
NEW HAVEN CT, 06513, US
Phone (203) 777-7411
Fax (203) 777-8506
Business Location
85 BEDFORD AVENUE
HAMDEN CT, 06517, US
Phone (203) 281-1345
Fax
Toxanomy
Taxonomy Code 367A00000X
License State Connecticut
License Number 000054
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According to our database, Ellen J Wormser CNM LNM NPI is 1043303258, taxonomy code is 367A00000X and license number is 000054, license state is located at Connecticut. Ellen J Wormser CNM LNM physically located at 374 Grand Avenue, New Haven CT, 06513. NPI Number Ellen J Wormser CNM LNM has the Individual type.

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1043303258 NPI number is provided on an as is basis without warranty of any kind. 1043303258 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen J Wormser CNM LNM are for informational purposes only.