| Doctor Name: | MR. RUSSELL S MEDBERY |
| NPI Number: | 1104860964 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 000040 |
| Business Practice Address: | 360 Tolland Tpke Suite 3b Manchester, CT - 060421771 |
| Business Phone Number: | 8606461157 |
| Business Fax Number: | 8606469877 |
| Mailing Address: | 360 Tolland Tpke, Suite 3b MANCHESTER |
| State: | CT |
| Postal Code: | 060421771 |
| Phone Number: | 8606461157 |
| Fax Number: | 8606469877 |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 367A00000X |
| License Number: | 000040 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Advanced Practice Midwife |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |