Individual
MARISA LAUREN WHITELAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
315 SOUTH MANNING BLVD, 3 MCAULEY, ALBANY, NY 12208-1707
(185) 525-1381
(518) 525-1717
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
948851
NY
176B00000X
Midwife
Primary
002319
NY
367A00000X
Advanced Practice Midwife
11015782
FL
Other
Enumeration date
11/09/2021
Last updated
08/12/2024
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