Individual provider · NPI-1

Maria Diana Avellino, C.N.M.

Advanced Practice Midwife · Manchester, CT

NPI number1437389715
StatusActive
Last updated in NPPESSep 22, 2009

Details

NPI
1437389715
Entity type
Individual (NPI-1)
Name
Maria Diana Avellino
Credential
C.N.M.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 21, 2009
Last updated
Sep 22, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367A00000X Advanced Practice Midwife000318CTYes
367A00000X Advanced Practice MidwifeRN2260816MA

Practice location

388 West Center St
Manchester, CT 06040

Phone 860-649-1120 · Fax 860-645-8541

Mailing address

388 West Center St
Manchester Ob-Gyn Assoc
Manchester, CT 06040

Phone 860-649-1120 · Fax 860-645-8541

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