Individual
PHYLLIS LYNN BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2151 LINGLESTOWN RD, SUITE 210, HARRISBURG, PA 17110-9499
(717) 541-5661
(717) 541-5634
Mailing address
2151 LINGLESTOWN RD, SUITE 210, HARRISBURG, PA 17110-9499
(717) 541-5661
(717) 541-5634
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW008493L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102717269001
—
PA
Enumeration date
11/20/2006
Last updated
08/30/2016
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