Ann Renee Longnecker, CNM-RN
Individual provider Active NPI Midwife · Pago Pago, AS
NPI 1831655950 · NPPES record last updated Feb 13, 2019
Key facts
- NPI
- 1831655950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- Practice address
- 96799 Turner Drive
Pago Pago, AS 96799-9994 - Phone
- (684) 633-1222
- Fax
- (684) 633-2893
- NPI assigned
- Feb 13, 2019
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | Yes |
Addresses
Primary practice location
96799 Turner Drive
Pago Pago, AS 96799-9994
Mailing address
PO Box LBJ
Pago Pago, AS 96799-0010
Phone (684) 633-1222
Other providers in Pago Pago, AS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2019. 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.