Individual
NICOLE MARIE GANZEKAUFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
1098 W BALTIMORE PIKE STE 3109, MEDIA, PA 19063-5139
(484) 443-2880
Mailing address
202 CURTIS CT, CHESTERBROOK, PA 19087-1237
(718) 314-4595
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MWO10504
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007781850003
—
PA
Enumeration date
11/20/2018
Last updated
10/22/2025
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