Individual
BENJAMIN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN623978
PA
367A00000X
Advanced Practice Midwife
Primary
368
MN
367A00000X
Advanced Practice Midwife
MW010341
PA
Other
Enumeration date
05/23/2014
Last updated
11/01/2018
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