Stacia Beth Birdsall, CNM
Advanced Practice Midwife in New York, NY. Individual provider (NPI-1).
NPI number1174629778
StatusActive
Last updated in NPPESJul 16, 2019
Details
- NPI
- 1174629778
- Entity type
- Individual (NPI-1)
- Name
- Stacia Beth Birdsall
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2006
- Last updated
- Jul 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | F001385-1 | NY | Yes |
Practice location
268 Canal StNew York, NY 10013-3599
Phone 212-966-0228 · Fax 212-966-9330
Mailing address
125 Walker St Fl 2New York, NY 10013-4135
Phone 212-226-8866 · Fax 212-226-2289
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