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Contact Information

EBONY S TATE, CNM
4701 SANGAMORE RD STE N100
BETHESDA, MD20816-2558
 Phone: 914-919-9200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for EBONY S TATE · (Female)

NPI Number 1558381228
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 07/19/2006
Last updated 09/23/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • NC License # 109
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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