Individual
JOHANNA TYSON ALLEN ARNTZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4781 BROADWAY, NEW YORK, NY 10034-4915
(212) 304-6920
Mailing address
2106 23RD AVE APT 3D, ASTORIA, NY 11105-3456
(253) 906-0221
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
08/03/2023
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