Individual
STEPHANIE RIVERA OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
261 LEXINGTON ST APT 5, EAST BOSTON, MA 02128-2660
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM07854
MA
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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