Individual
JENNIFER A BANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
001609
NY
367A00000X
Advanced Practice Midwife
001609
NY
367A00000X
Advanced Practice Midwife
Primary
AP60427514
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347010
STATE L&I
WA
Enumeration date
02/11/2014
Last updated
06/07/2016
Update your record
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