Provider Demographics
NPI:1215512850
Name:ENSOR, CORTNEY LOUISE (CNM)
Entity type:Individual
Prefix:MRS
First Name:CORTNEY
Middle Name:LOUISE
Last Name:ENSOR
Suffix:
Gender:F
Credentials:CNM
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:25 TOBEY RD UNIT 58
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-4933
Mailing Address - Country:US
Mailing Address - Phone:413-887-8584
Mailing Address - Fax:
Practice Address - Street 1:46 OBERY ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-2237
Practice Address - Country:US
Practice Address - Phone:508-830-6116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife