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Individual

MS. CHRISTINA BOOTH EDELMAN

Active
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Individual

MS. CHRISTINA BOOTH EDELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, WHNP

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
26NJ0061300
NJ
363LW0102X
Women's Health Nurse Practitioner
NP 15499
CA
367A00000X
Advanced Practice Midwife
Primary
1996
CA
367A00000X
Advanced Practice Midwife
25ME00060800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15499
NP WITH FURNISHING
CA
01
—
1996
CNM LICENSE
CA
01
—
25ME00060800
CNM
NJ
01
—
25ME00060801
CNM W/PRESCRIPTIVE AUTHORITY
NJ
01
—
26NJ0061300
ADVANCED PRACTICE NURSE
NJ
01
—
26NR18421700
RN NJ
NJ
01
—
645813
RN CA
CA
01
—
NP 15499
NP LICENSE
CA
01
—
RN 645813
RN LICENSE
CA
Enumeration date
02/02/2006
Last updated
04/08/2021
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