Individual
DIEDRE WILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(929) 422-1836
Mailing address
728 BRISTOL ST APT 2R, BROOKLYN, NY 11236-1372
(929) 519-8356
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
002088
NY
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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