Ms Patricia Mary Connolly-detura, RN, CNM is a
Midwife based in Bergenfield, New Jersey. Ms Patricia Mary Connolly-detura is licensed to practice in New Jersey (license number 25ME00016101) and her current practice location is
114 E Clinton Ave, Bergenfield, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(201) 384-4955.
NPI number for Ms Patricia Mary Connolly-detura is 1942446893 and her current mailing address is 114 E Clinton Ave, Bergenfield, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942446893.
Provider's Profile
| Full Name | Ms Patricia Mary Connolly-detura |
|---|
| Gender | Female |
|---|
| Speciality | Midwife |
|---|
| Location | 114 E Clinton Ave, Bergenfield, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1942446893
- Provider Enumeration Date: 12/24/2008
- Last Update Date: 09/12/2013
Medical Identifiers
Medical identifiers for Ms Patricia Mary Connolly-detura such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942446893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 26NR05601200 (New Jersey) | Secondary |
| 163W00000X | Registered Nurse | 344654-1 (New York) | Secondary |
| 175L00000X | Homeopath | (* (Not Available)) | Secondary |
| 176B00000X | Midwife | 25ME00016101 (New Jersey) | Primary |
| 176B00000X | Midwife | F000634-1 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Patricia Mary Connolly-detura is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Patricia Mary Connolly-detura, RN, CNM
114 E Clinton Ave,
Bergenfield, NJ 07621-3024
Ph: (201) 384-4955 | Ms Patricia Mary Connolly-detura, RN, CNM
114 E Clinton Ave,
Bergenfield, NJ 07621-3024
Ph: (201) 384-4955 |
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