MEDICARE: MRS. KAREN J PELOTE CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	DC52324	DC

General Provider Information

NPI Number	:	1093887788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN J PELOTE CNM

Provider Business Mailing Address
First Line	:	1260 IRVING ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-2427
Country	:	US
Telephone Number	:	202-248-8141
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 17TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-7200
Country	:	US
Telephone Number	:	202-398-5529
Fax Number	:	202-396-6953

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	07/08/2007

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