Healthcare Provider Details

I. General information

NPI: 1770748360
Provider Name (Legal Business Name): MEGAN ELIZABETH BOWER CNM, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2008
Last Update Date: 03/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 SANDERSON STREET
GREENFIELD MA
01301-2613
US

IV. Provider business mailing address

280 CHESTNUT STREET 2ND FLOOR
SPRINGFIELD MA
01199
US

V. Phone/Fax

Practice location:
  • Phone: 413-773-2200
  • Fax: 413-773-4050
Mailing address:
  • Phone: 413-794-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number18304
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1816
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN2268307
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: