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Individual
MARIAH C JORDAN
Active
Individual
MARIAH C JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
13156-33
WI
367A00000X
Advanced Practice Midwife
Primary
150007-32
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13156-33
APNP
WI
05
—
1386382174
—
WI
01
—
150007-32
CNM
WI
01
—
229165-30
RN
WI
Enumeration date
05/23/2022
Last updated
10/07/2026
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