Gwenivere Stanton Olsen, | |
275 Sandwich St, Plymouth, MA 02360-2183 | |
(909) 702-3935 | |
Not Available |
Full Name | Gwenivere Stanton Olsen |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 275 Sandwich St, Plymouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760859375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367A00000X | Advanced Practice Midwife | RN2301907 (Massachusetts) | Primary |
Entity Name | Essex County Obgyn Assoc Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538275870 PECOS PAC ID: 6204829062 Enrollment ID: O20040407000041 |
Mailing Address | Practice Location Address |
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Gwenivere Stanton Olsen, 40 Obery St, Attn: Kristy Glavin, Beth Israel Deaconess Obgyn, Plymouth, MA 02360-2196 Ph: () - | Gwenivere Stanton Olsen, 275 Sandwich St, Plymouth, MA 02360-2183 Ph: (909) 702-3935 |
Corey Signs, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 275 Sandwich St, Plymouth, MA 02360 Phone: 508-746-2000 | |
Mrs. Cortney Louise Ensor, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 46 Obery St, Plymouth, MA 02360 Phone: 508-830-6116 | |
Mrs. Brittany E Ross, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 46 Obery St, Plymouth, MA 02360 Phone: 508-830-6116 |