Individual
JOAN COMBELLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
000380
NY
367A00000X
Advanced Practice Midwife
Primary
433
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01522009
—
NY
Enumeration date
08/08/2006
Last updated
10/08/2018
Update your record
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