Healthcare Provider Details

I. General information

NPI: 1285370742
Provider Name (Legal Business Name): EMMA MARSDEN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 BELLEVUE AVE FL 3
TRENTON NJ
08618-4514
US

IV. Provider business mailing address

2812 CAMBRIDGE ST
PHILADELPHIA PA
19130-1209
US

V. Phone/Fax

Practice location:
  • Phone: 609-394-4111
  • Fax: 609-394-4070
Mailing address:
  • Phone: 484-881-1676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number26NR20869500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: