MEDICARE: CAROLINE MICHELLE NEILL CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	701	NC
2	367A00000X	Advanced Practice Midwife	161	NC
3	367A00000X	Advanced Practice Midwife

General Provider Information

NPI Number	:	1174005854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE MICHELLE NEILL CNM

Provider Business Mailing Address
First Line	:	930 3RD ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-6967
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	930 3RD ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-6967
Country	:	US
Telephone Number	:	336-890-3200
Fax Number	:	336-890-3290

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2018
Last Update Date	:	01/29/2026

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Directions to “ CAROLINE MICHELLE NEILL CNM” Practice Location

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