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Contact Information

ROBERTA R POIRIER, CNM
640 JACKSON STREET
MC 11503H
SAINT PAUL, MN55101-2502
 Phone: 651-254-1025
 Fax: 651-254-1024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for ROBERTA R POIRIER · (Female)

NPI # 1366485310
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 06/14/2006
Last updated 05/20/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 1073777
  • WI License # 1073777
  • MN Medicaid 368240400
  • WI Medicaid 39900600
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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