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NPI Code Detail

MEDICARE: LAURIE COLLINS CNM

MEDICARE:   LAURIE  COLLINS  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 Midwife000109CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000109OTHERCTLICENSE

General Provider Information

NPI Number : 1639398803
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE COLLINS CNM
Provider Business Mailing Address
First Line : 121 WATER ST
Second Line :
City : NORWALK
State : CT
Zip : 06854-3013
Country : US
Telephone Number : 203-899-1770
Fax Number : 203-852-3984
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 : 203-852-3984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 03/07/2023

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Directions to “ LAURIE COLLINS CNM” Practice Location

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