National Provider Identifier
Katlyn Deanne Hodak, CNM
Katlyn Deanne Hodak, CNM is listed in the NPPES registry with a primary specialty of Advanced Practice Midwife in Jamestown, NY and a listed phone number of (716) 484-1914.
Profile Overview
- NPI
- 1861043515
- Provider Type
- Individual
- Primary Specialty
- Advanced Practice Midwife
- Enumeration Date
- September 24, 2019
- Last Updated
- July 12, 2021
Practice Location
- 400 Foote Ave
- Jamestown, NY 14701-6800
Phone: (716) 484-1914
Specialties
- Advanced Practice Midwife (367A00000X)
Full Record
- NPI
- 1861043515
- Entity Type
- Individual
- Last Name
- Hodak
- First Name
- Katlyn
- Middle Name
- Deanne
- Credential
- CNM
- Mailing Street Address
- 400 Foote Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-6800
- Mailing Country
- US
- Mailing Phone
- (716) 484-1914
- Practice Street Address
- 400 Foote Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6800
- Practice Country
- US
- Practice Phone
- (716) 484-1914
- Enumeration Date
- September 24, 2019
- Last Updated
- July 12, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 12, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Advanced Practice Midwife (367A00000X)