Individual provider · NPI-1

Johanna P Delongaig, CNM

Advanced Practice Midwife · Sarasota, FL

NPI number1255453205
StatusActive
Last updated in NPPESApr 4, 2017

Details

NPI
1255453205
Entity type
Individual (NPI-1)
Name
Johanna P Delongaig
Credential
CNM
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2007
Last updated
Apr 4, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367A00000X Advanced Practice Midwife9430582FLYes

Practice location

1950 Arlington St
Suite 203
Sarasota, FL 34239-3507

Phone 941-379-6331 · Fax 941-379-5642

Mailing address

1950 Arlington St
Suite 203
Sarasota, FL 34239-3507

Phone 941-379-6331 · Fax 941-379-5642

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