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NPI Code Detail

MEDICARE: JANET PRISCA DJENTUH CNM

MEDICARE: JANET PRISCA DJENTUH 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
1367A00000XAdvanced Practice Midwife000254CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22V2653OTHERCTHEALTHN ET
3400000254CT01OTHERCTANTHEM B/C

General Provider Information

NPI Number : 1194796870
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET PRISCA DJENTUH CNM
Provider Business Mailing Address
First Line : 24 STEVENS ST
Second Line :
City : NORWALK
State : CT
Zip : 06850-3852
Country : US
Telephone Number : 203-852-2353
Fax Number :
Provider Business Practice Location Address
First Line : 121 WATER ST
Second Line :
City : NORWALK
State : CT
Zip : 06854-3013
Country : US
Telephone Number : 203-899-1770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 05/18/2011

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Directions to “ JANET PRISCA DJENTUH CNM” Practice Location

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