Healthcare Provider Details
I. General information
NPI: 1104933076
Provider Name (Legal Business Name): MARGARET MARY HELDWEIN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
288 LINWOOD AVE
BUFFALO NY
14209-1802
US
IV. Provider business mailing address
107 LONG BEACH LN
ANGOLA NY
14006-9058
US
V. Phone/Fax
- Phone: 716-885-4401
- Fax: 716-885-4308
- Phone: 716-549-5239
- Fax: 716-549-0002
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 176B00000X |
| Taxonomy | Midwife |
| License Number | F000751-1 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: