Provider Demographics
NPI:1659348357
Name:NIEMCZYK, NANCY A (CNM)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:A
Last Name:NIEMCZYK
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 1:2825 PENN AVE
Mailing Address - Street 2:THE MIDWIFE CENTER
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-4731
Mailing Address - Country:US
Mailing Address - Phone:412-321-6880
Mailing Address - Fax:412-321-7070
Practice Address - Street 1:2825 PENN AVE
Practice Address - Street 2:THE MIDWIFE CENTER
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-4731
Practice Address - Country:US
Practice Address - Phone:412-321-6880
Practice Address - Fax:412-321-7070
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW008392L367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
901100Medicare ID - Type Unspecified