Healthcare Provider Details

I. General information

NPI: 1316947203
Provider Name (Legal Business Name): NINA J KLEINBERG CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 02/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 MAPLE STREET SUITE 200 MIDWIFERY CARE OF HOLYOKE
HOLYOKE MA
01040
US

IV. Provider business mailing address

WESTERN MASS PHYSICIAN ASSOCIATES INC 260 NEW LUDLOW RD
CHICOPEE MA
01020
US

V. Phone/Fax

Practice location:
  • Phone: 413-535-4700
  • Fax: 413-535-4704
Mailing address:
  • Phone: 413-533-3470
  • Fax: 413-533-6859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number188294
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: