Individual
MS. MARY JANE GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC, IBCLC
Contact information
Practice address
2 TRAP FALLS RD STE 510, SHELTON, CT 06484-7622
(203) 944-0264
(203) 944-0838
Mailing address
22 WATERVILLE RD, AVON, CT 06001-2069
(603) 354-6640
(603) 354-6645
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
067583-21
NH
163WL0100X
Lactation Consultant (Registered Nurse)
168570
CT
176B00000X
Midwife
Primary
471
CT
363LW0102X
Women's Health Nurse Practitioner
067583-23
NH
367A00000X
Advanced Practice Midwife
067583-23
NH
Other
Enumeration date
06/02/2014
Last updated
07/22/2020
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