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NPI Code Detail

MEDICARE: CLARE HALL CNM

MEDICARE: CLARE HALL 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 Midwife4704301323MI
2367A00000XAdvanced Practice Midwife09000277AIN
3363LP0200XPediatric Nurse Practitioner4704301323MI
4176B00000XMidwife002373NY

General Provider Information

NPI Number : 1609320795
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARE HALL CNM
Provider Business Mailing Address
First Line : 144 GENESEE ST FL 3
Second Line :
City : BUFFALO
State : NY
Zip : 14203-1560
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2157 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-2692
Country : US
Telephone Number : 716-862-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2016
Last Update Date : 10/20/2025

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