Provider Demographics
NPI:1609184639
Name:PERLMAN, ONDREA (CNM)
Entity Type:Individual
Prefix:
First Name:ONDREA
Middle Name:
Last Name:PERLMAN
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 1:91 VIKING DR W
Mailing Address - Street 2:
Mailing Address - City:LITTLE CANADA
Mailing Address - State:MN
Mailing Address - Zip Code:55117-1753
Mailing Address - Country:US
Mailing Address - Phone:651-489-1328
Mailing Address - Fax:651-489-4127
Practice Address - Street 1:91 VIKING DRIVE WEST
Practice Address - Street 2:
Practice Address - City:LITTLE CANADA
Practice Address - State:MN
Practice Address - Zip Code:55117
Practice Address - Country:US
Practice Address - Phone:651-489-1328
Practice Address - Fax:651-489-4127
Is Sole Proprietor?:No
Enumeration Date:2010-09-24
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR64099367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife