Individual
JENSINE BANGSGAARD QUEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MS
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
167755
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036813
NEIGHBORHOOD HEALTH
MA
01
—
CN0309
BLUE CROSS & BLUE SHIHELD
MA
Enumeration date
06/12/2006
Last updated
11/27/2019
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