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Contact Information

LAURIE C MOUSAW, CNM
49 LAWRENCE AVE
POTSDAM, NY13676
 Phone: 315-261-2153
 Fax: 315-265-2540
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for LAURIE C MOUSAW · (Female)

NPI # 1194703744
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 01/04/2006
Last updated 08/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 349218
  • NY License # F0009701
  • NY Medicaid 02146830
Hospital affiliation(s)
  • CANTON-POTSDAM HOSPITAL - (Acute Care)
    50 LEROY STREET
    POTSDAM, NY 13676
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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