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NPI Code Detail

MEDICARE: ELIZABETH JOY CORDERO CNM, WHNP

MEDICARE: ELIZABETH JOY CORDERO CNM, WHNP
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
1367A00000XAdvanced Practice MidwifeNC
2367A00000XAdvanced Practice Midwife961NC

General Provider Information

NPI Number : 1235940198
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH JOY CORDERO CNM, WHNP
Provider Business Mailing Address
First Line : 2817 ROCK MERRITT AVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 910-907-8707
Fax Number :
Provider Business Practice Location Address
First Line : 1638 OWEN DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3424
Country : US
Telephone Number : 252-665-3247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2025
Last Update Date : 03/10/2026

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