Mary Ann Bednarek, CNM
Individual provider Active NPI Advanced Practice Midwife · Tahlequah, OK
NPI 1104838879 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1104838879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 57728-032 (WI)
- Practice address
- 100 S Bliss Ave
Tahlequah, OK 74464-2512 - Phone
- (918) 458-3130
- Fax
- (918) 458-3511
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57728-032 | WI | MD | Advanced Practice Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 57728-032 | WI | Yes |
Addresses
Primary practice location
100 S Bliss Ave
Tahlequah, OK 74464-2512
Mailing address
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3130
Other providers in Tahlequah, OK
- Chelsey Morgan Beathard
- Dustin Ryan Beck
- Rayleigh Beck
- Sandra Kay Becker
- John Beckmann
- Thomas Dean Beeler
- Thomas Craig Been
- Winfred Craig Belcher
- Rodney Bendure
- Caleb Bergey
All providers in Tahlequah, OK · Advanced Practice Midwife in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.