Individual
RACHEL FELICITY BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM, WHNP-BC
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(631) 255-0340
Mailing address
760 BROADWAY, BROOKLYN, NY 11206-5317
(631) 255-0340
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
002018
NY
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06143868
—
NY
01
—
CL7W
ETIN
—
Enumeration date
06/08/2020
Last updated
11/30/2020
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