Provider Demographics
NPI:1427620111
Name:BLAWIE, MARIAN KAROLINE (CNM, CLC)
Entity type:Individual
Prefix:
First Name:MARIAN
Middle Name:KAROLINE
Last Name:BLAWIE
Suffix:
Gender:F
Credentials:CNM, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 WEAVER ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-5143
Mailing Address - Country:US
Mailing Address - Phone:203-947-0414
Mailing Address - Fax:
Practice Address - Street 1:6734 ROUTE 9
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-3724
Practice Address - Country:US
Practice Address - Phone:845-231-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife