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NPI Code Detail

MEDICARE: LAURA WUNDERLY

MEDICARE: LAURA WUNDERLY
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 MidwifeMW010025PA

General Provider Information

NPI Number : 1811964513
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA WUNDERLY
Provider Business Mailing Address
First Line : 2825 PENN AVE
Second Line : THE MIDWIFE CENTER
City : PITTSBURGH
State : PA
Zip : 15222-4713
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2825 PENN AVE
Second Line : THE MIDWIFE CENTER
City : PITTSBURGH
State : PA
Zip : 15222-4713
Country : US
Telephone Number : 412-321-6880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 04/06/2021

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Directions to “ LAURA WUNDERLY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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