Individual
MS. CARMEN SMIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
473 SUMNER AVE, MERCY CARE - FOREST PARK, SPRINGFIELD, MA 01108-2321
(413) 886-0410
(413) 886-0420
Mailing address
PO BOX 410, MERCY INPATIENT MEDICAL ASSOCIATES, CHICOPEE, MA 01021-0410
(866) 662-1606
(413) 886-0420
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
153653
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0353060
—
MA
01
—
CN0320
BLUE CROSS
MA
Enumeration date
02/02/2006
Last updated
04/23/2012
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