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Individual

VANESSA ANNE PETGRAVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1524 SHEEPSHEAD BAY RD APT 6A, BROOKLYN, NY 11235-3872
(347) 631-1584
Mailing address
1524 SHEEPSHEAD BAY RD APT 6A, BROOKLYN, NY 11235-3872

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
002195
NY

Other

Enumeration date
01/06/2023
Last updated
01/06/2023
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