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Contact Information

NICOLE M BENNETT, CNM
90 SOUTH ST
GLENS FALLS, NY12801-4328
 Phone: 518-792-7841
 Fax: 518-932-0289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for NICOLE M BENNETT · (Female)

NPI Number 1366118986
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 08/23/2021
Last updated 05/23/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 002110
  • NY Medicaid 06771131
Hospital affiliation(s) Not Available
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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