Individual
ELAINE CLUTTERBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
397 LOUISIANA ST, BUFFALO, NY 14204-2275
(716) 847-6610
(716) 854-3052
Mailing address
397 LOUISIANA ST, BUFFALO, NY 14204-2275
(716) 847-6610
(716) 854-3052
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010252101
UNIVERA
NY
05
—
00466393
—
NY
01
—
005600462
BCBS
NY
01
—
2012804
FIDELIS
NY
01
—
5008733
IHA
NY
Enumeration date
04/11/2006
Last updated
03/13/2013
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