Individual
KATHLEEN L HAUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1250 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 332-2427
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1900
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
001003
NY
367A00000X
Advanced Practice Midwife
101.0134715
VT
367A00000X
Advanced Practice Midwife
R872773
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3125792
—
NH
05
—
6705638
—
VT
Enumeration date
09/25/2006
Last updated
07/18/2024
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