Individual provider · NPI-1

Stacy Brenner, CNM

Midwife · Portland, ME

NPI number1063517654
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1063517654
Entity type
Individual (NPI-1)
Name
Stacy Brenner
Credential
CNM
Sex
Female
Sole proprietor
No
Enumeration date
Sep 14, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
176B00000X MidwifeR047461MEYes

Practice location

527 Ocean Ave
Portland, ME 04103-4972

Phone 207-871-0666 · Fax 207-347-7151

Mailing address

527 Ocean Ave
Portland, ME 04103-4972

Phone 207-871-0666 · Fax 207-347-7151

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