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Individual

JOAN COMBELLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
YALE SCHOOL OF NURSING, 400 WEST CAMPUS DRIVE, ORANGE, CT 06477
(914) 329-3397
Mailing address
1037 MAIN ST, CREDENTIALING DEPT., PEEKSKILL, NY 10566-2913
(914) 734-8858
(914) 734-8786

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
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