Individual
MS. ALLYSON REBECCA HORNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-5400
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-5400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
171241-30
WI
176B00000X
Midwife
148883-32
WI
367A00000X
Advanced Practice Midwife
148883-32
WI
367A00000X
Advanced Practice Midwife
Primary
CNM212005
ME
367A00000X
Advanced Practice Midwife
RN2314372
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000002690
MEDICARE PTAN
WI
Enumeration date
08/13/2013
Last updated
04/05/2021
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