Individual
KORTNIE S AVEDISIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
478
MN
367A00000X
Advanced Practice Midwife
Primary
478
MN
Other
Enumeration date
01/28/2022
Last updated
03/31/2022
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