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Individual

NICOLETTE D VALLANDIGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM MSN

Contact information

Practice address
1001 WEST ST, CARTHAGE AREA HOSPITAL, CARTHAGE, NY 13619-9703
(315) 493-3100
(315) 493-3113
Mailing address
1001 WEST STREET, CARTHAGE AREA HOSPITAL, CARTHAGE, NY 13619
(315) 493-3100
(315) 493-3113

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F001048
NY
367A00000X
Advanced Practice Midwife
R186685
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00310852
NY
Enumeration date
10/06/2006
Last updated
05/16/2013
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