Individual
DEBORAH RUTH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
509 PARK AVE, BRIDGEPORT, CT 06604-5859
(203) 330-6000
Mailing address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
(203) 330-6000
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
515
CT
367A00000X
Advanced Practice Midwife
309000231
IL
Other
Enumeration date
01/09/2007
Last updated
03/18/2024
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