Provider Demographics
NPI:1891797213
Name:KASRAIAN, PARVIN (CNM)
Entity Type:Individual
Prefix:
First Name:PARVIN
Middle Name:
Last Name:KASRAIAN
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 1:35 PECK HILL RD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-1301
Mailing Address - Country:US
Mailing Address - Phone:203-397-3739
Mailing Address - Fax:
Practice Address - Street 1:1441 CHAPEL ST
Practice Address - Street 2:CENTER FOR WOMEN HEALTH AND MIDWIFERY
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-4403
Practice Address - Country:US
Practice Address - Phone:203-789-3029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000089176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife