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Individual

JOANNE WADE PEPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
4104 STATE HIGHWAY 30, AMSTERDAM, NY 12010-6202
(518) 883-8634
(518) 883-5653
Mailing address
99 E STATE ST, PO BOX 1250, GLOVERSVILLE, NY 12078-1203
(518) 773-5729
(518) 775-4118

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000446
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000406761006
BSH NE NY
NY
05
01281103
NY
01
995013
MVP HEALTHPLAN
NY
Enumeration date
01/30/2006
Last updated
02/02/2011
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