Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 19050006 |
NPI | 1033778899 |
---|---|
Provider Name | Rachel Cipryk |
First Address | Washington, DC 20012-2024 |
Second Address | Washington, DC 20012-2024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2019 |
Last Update Date | 06/06/2019 |