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NPI Code Detail

MEDICARE: ANDREA CROSSMAN RN, DOULA

MEDICARE: ANDREA CROSSMAN RN, DOULA
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
1163W00000XRegistered Nurse577810-1NY
2374J00000XDoula

General Provider Information

NPI Number : 1710216692
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA CROSSMAN RN, DOULA
Provider Business Mailing Address
First Line : 209 PRESIDENT ST APT 3
Second Line :
City : BROOKLYN
State : NY
Zip : 11231-3535
Country : US
Telephone Number : 917-692-7342
Fax Number :
Provider Business Practice Location Address
First Line : 209 PRESIDENT ST APT 3
Second Line :
City : BROOKLYN
State : NY
Zip : 11231-3535
Country : US
Telephone Number : 917-692-7342
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2009
Last Update Date : 12/23/2009

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