Individual
JULIA N DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
279791
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110080383A
—
MA
01
—
AA128117
HPHC
MA
01
—
CN0432
BLUE CROSS
MA
Enumeration date
09/03/2008
Last updated
01/05/2010
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