Individual
LILY WAY JORDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM
Contact information
Practice address
191 BERKELEY PL APT 10, BROOKLYN, NY 11217-3811
(708) 560-5693
Mailing address
191 BERKELEY PL APT 10, BROOKLYN, NY 11217-3811
(708) 560-5693
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
758351
NY
367A00000X
Advanced Practice Midwife
Primary
002062
NY
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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