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Organization

NORTH COUNTRY MIDWIFERY, PLLC

Active
Other names
Wilder's Women's Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
JOYCE M WILDER CNM, WHNP (OWNER)
(315) 408-2851
Entity
Organization

Contact information

Practice address
18564 US ROUTE 11, SUITE 4, WATERTOWN, NY 13601-5900
(315) 681-6502
(315) 681-6716
Mailing address
18564 US ROUTE 11, SUITE 4, WATERTOWN, NY 13601-5900
(315) 681-6502
(315) 681-6716

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
420516
NY
367A00000X
Advanced Practice Midwife
Primary
000546
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01709553
NY
01
1255380580
NPI
NY
01
1740549971
GROUP NPI
NY
Enumeration date
05/08/2012
Last updated
07/26/2016
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