Individual
JEAN EWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
850 HARRISON AVE, YAWKEY 4TH FLOOR, BOSTON, MA 02118-4001
(617) 414-2000
(617) 414-5798
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN138350
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110015174A
—
MA
Enumeration date
12/19/2005
Last updated
04/17/2020
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