Ms Lesli Ellen Warren, CNM | |
63 Main St, Brockton, MA 02301-4042 | |
(508) 559-6699 | |
(508) 559-5073 |
Full Name | Ms Lesli Ellen Warren |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 63 Main St, Brockton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538327390 | NPI | - | NPPES |
03560267 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 001533 (New York) | Secondary |
367A00000X | Advanced Practice Midwife | RN281104 (Massachusetts) | Primary |
Entity Name | Brockton Neighborhood Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225085319 PECOS PAC ID: 3870491699 Enrollment ID: O20031230000558 |
Entity Name | Harvard Street Neighborhood Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902954449 PECOS PAC ID: 0840261988 Enrollment ID: O20150106000713 |
Mailing Address | Practice Location Address |
---|---|
Ms Lesli Ellen Warren, CNM 63 Main St, Brockton, MA 02301-4042 Ph: (508) 559-6699 | Ms Lesli Ellen Warren, CNM 63 Main St, Brockton, MA 02301-4042 Ph: (508) 559-6699 |
Michelle Hoffman, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-559-5073 | |
Letitia L Sullivan, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-565-0157 | |
Vida Mia Ruiz, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 63 Main St, 3rd Floor, Brockton, MA 02301 Phone: 508-559-6699 | |
Dianne H Quadros, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0332 | |
Julia Louis, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-3000 | |
Lisa Kelley, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 |