MEDICARE: JULIANNE NORAH POWIS 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	176B00000X	Midwife	MW008096L	PA

General Provider Information

NPI Number	:	1326687674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANNE NORAH POWIS CNM

Provider Business Mailing Address
First Line	:	331 MEETING HOUSE LN
Second Line	:
City	:	MERION STATION
State	:	PA
Zip	:	19066-1236
Country	:	US
Telephone Number	:	610-986-4999
Fax Number	:	610-667-8027

Provider Business Practice Location Address
First Line	:	331 MEETING HOUSE LN
Second Line	:
City	:	MERION STATION
State	:	PA
Zip	:	19066-1236
Country	:	US
Telephone Number	:	610-986-4999
Fax Number	:	610-667-8027

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

Provider Enumeration Date	:	01/04/2020
Last Update Date	:	01/04/2020

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