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Individual
TESS WEIDNER
Active
Individual
TESS WEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
001708
NY
367A00000X
Advanced Practice Midwife
Primary
56605
ID
Other
Enumeration date
09/19/2015
Last updated
11/09/2017
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