Provider Demographics
NPI:1780019331
Name:WITH WOMAN WELLNESS MIDWIFERY, PLLC
Entity type:Organization
Organization Name:WITH WOMAN WELLNESS MIDWIFERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:P
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:CNM , PHD
Authorized Official - Phone:518-252-1302
Mailing Address - Street 1:15 W MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:CAMBRIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:12816-1168
Mailing Address - Country:US
Mailing Address - Phone:518-252-1032
Mailing Address - Fax:
Practice Address - Street 1:15 W MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:CAMBRIDGE
Practice Address - State:NY
Practice Address - Zip Code:12816-1168
Practice Address - Country:US
Practice Address - Phone:518-252-1032
Practice Address - Fax:518-677-7032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03547371Medicaid