Individual
KATIE JEANNE MANSUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1508 W 7TH ST, WILMINGTON, DE 19805-3110
(302) 658-2229
(302) 658-2382
Mailing address
1508 W 7TH ST, WILMINGTON, DE 19805-3110
(302) 658-2229
(302) 658-2382
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
LK-0000143
DE
367A00000X
Advanced Practice Midwife
MW010059L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LK-0000143
NURSE MIDWIFE LICENSE
DE
01
—
MW010059L
NURSE MIDWIFE LICENSE
PA
Enumeration date
03/28/2006
Last updated
05/16/2013
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