Healthcare Provider Details

I. General information

NPI: 1699807867
Provider Name (Legal Business Name): DONNA LOWNEY C.N.M
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 W STAFFORD RD # III
STAFFORD SPRINGS CT
06076-1000
US

IV. Provider business mailing address

34 STAFFORD HOLLOW RD
MONSON MA
01057-9308
US

V. Phone/Fax

Practice location:
  • Phone: 860-684-5770
  • Fax:
Mailing address:
  • Phone: 413-267-5745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number000188
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: