Healthcare Provider Details

I. General information

NPI: 1568708337
Provider Name (Legal Business Name): MEGHAN KATHERINE NOWLAND CPM, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2012
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 MAIN ST STE C
BROOKVILLE IN
47012-1280
US

IV. Provider business mailing address

841 LINCOLN AVE
CINCINNATI OH
45206-1132
US

V. Phone/Fax

Practice location:
  • Phone: 513-399-7263
  • Fax: 513-407-8021
Mailing address:
  • Phone: 978-397-0666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number9000001
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: