Healthcare Provider Details

I. General information

NPI: 1427100056
Provider Name (Legal Business Name): JEANNE M WALDMAN R.N. C.N.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 11/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 E STATE ST
TRENTON NJ
08608-1501
US

IV. Provider business mailing address

75 E PROSPECT ST
HOPEWELL NJ
08525-2040
US

V. Phone/Fax

Practice location:
  • Phone: 609-599-4881
  • Fax:
Mailing address:
  • Phone: 609-466-9269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number25ME00009001
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: