Individual
MS. CILIA E.M. BANNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NHCM, CPM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1019
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30462517
—
NH
Enumeration date
03/13/2008
Last updated
03/13/2008
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