Individual
SUSAN MILLER RANNESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM, LM
Contact information
Practice address
209 BOYCE RD, PINE BUSH, NY 12566-6809
(845) 282-2229
(845) 744-5219
Mailing address
209 BOYCE RD, PINE BUSH, NY 12566-6809
(845) 744-5219
(845) 744-5219
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F001271
NY
Other
Enumeration date
05/01/2007
Last updated
04/29/2016
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