Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW010043 | PA |
NPI | 1083601918 |
---|---|
Provider Name | Ms. Audrey Joyce Perry |
First Address | Hershey, PA 17033-0858 |
Second Address | Hershey, PA 17033-2086 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 11/12/2018 |