Individual
STEPHANIE MARIE BUSSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
425 W 59TH ST, SUITE4B, NEW YORK, NY 10019-8022
(212) 581-8675
(212) 459-9113
Mailing address
425 W 59TH ST, SUITE4B, NEW YORK, NY 10019-8022
(212) 581-8675
(212) 459-9113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NMW1957
CA
367A00000X
Advanced Practice Midwife
Primary
F001543
NY
367A00000X
Advanced Practice Midwife
NMW1957
CA
Other
Enumeration date
08/15/2011
Last updated
04/13/2014
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