Individual
JANET PRISCA DJENTUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
121 WATER ST, NORWALK, CT 06854-3013
(203) 899-1770
Mailing address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2353
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000254
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004239647
—
CT
01
—
2V2653
HEALTHN ET
CT
01
—
400000254CT01
ANTHEM B/C
CT
Enumeration date
01/30/2006
Last updated
05/18/2011
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