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NPI Code Detail

MEDICARE: SHIRLEY M WHITE-WALKER CNM

MEDICARE:   SHIRLEY M WHITE-WALKER  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 Midwife25ME00038NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780695429
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY M WHITE-WALKER CNM
Provider Business Mailing Address
First Line : 741 BROADWAY
Second Line :
City : NEWARK
State : NJ
Zip : 07104-4309
Country : US
Telephone Number : 908-754-0695
Fax Number :
Provider Business Practice Location Address
First Line : 741 BROADWAY
Second Line :
City : NEWARK
State : NJ
Zip : 07104-4309
Country : US
Telephone Number : 973-675-1900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 03/07/2023

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Directions to “ SHIRLEY M WHITE-WALKER CNM” Practice Location

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