Provider Demographics
NPI:1740442904
Name:NURSE MIDWIFERY CARE PC
Entity type:Organization
Organization Name:NURSE MIDWIFERY CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE MIDWIFE
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:717-445-8564
Mailing Address - Street 1:103 POOL FORGE RD
Mailing Address - Street 2:
Mailing Address - City:EAST EARL
Mailing Address - State:PA
Mailing Address - Zip Code:17519-9557
Mailing Address - Country:US
Mailing Address - Phone:717-445-8564
Mailing Address - Fax:
Practice Address - Street 1:103 POOL FORGE RD
Practice Address - Street 2:
Practice Address - City:EAST EARL
Practice Address - State:PA
Practice Address - Zip Code:17519-9557
Practice Address - Country:US
Practice Address - Phone:717-445-8564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW008240L163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal NewbornGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1568585917OtherNPI