Ms Patricia Mary Connolly-detura, RN, CNM - Midwife in Bergenfield, NJ

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.

Contact Information

Ms Patricia Mary Connolly-detura, RN, CNM
114 E Clinton Ave,
Bergenfield, NJ 07621-3024
(201) 384-4955
(201) 384-2559



Provider's Profile

Full NameMs Patricia Mary Connolly-detura
GenderFemale
SpecialityMidwife
Location114 E Clinton Ave, Bergenfield, New Jersey
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1942446893NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 26NR05601200 (New Jersey)Secondary
163W00000XRegistered Nurse 344654-1 (New York)Secondary
175L00000XHomeopath (* (Not Available))Secondary
176B00000XMidwife 25ME00016101 (New Jersey)Primary
176B00000XMidwife 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 AddressPractice 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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