Provider Demographics
NPI:1326687674
Name:POWIS, JULIANNE NORAH (CNM)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:NORAH
Last Name:POWIS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 MEETING HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:MERION STATION
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1236
Mailing Address - Country:US
Mailing Address - Phone:610-986-4999
Mailing Address - Fax:610-667-8027
Practice Address - Street 1:331 MEETING HOUSE LN
Practice Address - Street 2:
Practice Address - City:MERION STATION
Practice Address - State:PA
Practice Address - Zip Code:19066-1236
Practice Address - Country:US
Practice Address - Phone:610-986-4999
Practice Address - Fax:610-667-8027
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-04
Last Update Date:2020-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW008096L176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife