Individual
MS. KIRSTEN GWYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201405814NP-PP
OR
367A00000X
Advanced Practice Midwife
MW010305
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MW010305
NURSE-MIDWIFE LICENSE
PA
Enumeration date
06/03/2013
Last updated
02/13/2020
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