Individual
MARYANNE DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3400 SPRUCE ST, 1 WEST GATES, PHILADELPHIA, PA 19104-4238
(215) 662-2730
(215) 349-5224
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2730
(215) 349-5224
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW008386L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019719640004
—
PA
Enumeration date
07/28/2006
Last updated
02/21/2019
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