Healthcare Provider Details

I. General information

NPI: 1538432323
Provider Name (Legal Business Name): MIRIAM E LEVI FNP-BC, WHNP-BC, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2012
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 MAPLE ST
NORWALK CT
06850-3815
US

IV. Provider business mailing address

4432 OAK CT SW
ROCHESTER MN
55902-8869
US

V. Phone/Fax

Practice location:
  • Phone: 203-852-2000
  • Fax:
Mailing address:
  • Phone: 917-572-9719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP014753
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60664597
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP60295389
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number431
License Number StateMN
# 5
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number371
License Number StateCT
# 6
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number26NR15139600
License Number StateNJ
# 7
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number629822-1
License Number StateNY
# 8
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW010310
License Number StatePA
# 9
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberF001479
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: