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NPI Code Detail

MEDICARE: ELLEN MARIE FRANKLIN CNM MS

MEDICARE: ELLEN MARIE FRANKLIN CNM MS
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 MidwifeAP2650AZ

General Provider Information

NPI Number : 1255592085
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN MARIE FRANKLIN CNM MS
Provider Business Mailing Address
First Line : 6707 N 19TH AVE STE 222
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-1106
Country : US
Telephone Number : 602-241-1717
Fax Number :
Provider Business Practice Location Address
First Line : 6707 N 19TH AVE STE 222
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-1106
Country : US
Telephone Number : 602-241-1717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2008
Last Update Date : 06/24/2008

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Directions to “ ELLEN MARIE FRANKLIN CNM MS” Practice Location

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