Individual
ANDREA YOUNG-DECIANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1 MAIN ST, HARTFORD, CT 06106-1806
(860) 525-1900
Mailing address
1 MAIN ST, HARTFORD, CT 06106-1806
(860) 522-9913
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
MW00079
RI
367A00000X
Advanced Practice Midwife
Primary
000195
CT
Other
Enumeration date
07/23/2006
Last updated
10/10/2012
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