JENNIFER ELAINE NYDAM

FT DEFIANCE, AZ
NPI1407958432
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: NM  773)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: CA  1683)
Enumeration Date2006-09-01
Last Update Date2019-10-16
Business Address
Mrs. JENNIFER ELAINE NYDAM R.N., C.N.M.
CORNER OF ROUTE N12 AND N7
FT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8000
Mailing Address
Mrs. JENNIFER ELAINE NYDAM R.N., C.N.M.
808 E GREEN AVE
GALLUP, NM 87301-5513
Phone number: 707-367-1977