MEDICARE: EDIL YOUSUF CNM

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
1	163WX0003X	Inpatient Obstetric Registered Nurse	RN332836	GA
2	367A00000X	Advanced Practice Midwife	APRN-CNM332836	GA

General Provider Information

NPI Number	:	1023702750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDIL YOUSUF CNM

Provider Business Mailing Address
First Line	:	1046 RIDGE AVE SW # 4
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-1640
Country	:	US
Telephone Number	:	404-688-1350
Fax Number	:

Provider Business Practice Location Address
First Line	:	1046 RIDGE AVE SW # 4
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-1640
Country	:	US
Telephone Number	:	404-688-1350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2023
Last Update Date	:	05/06/2026

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