Healthcare Provider Details

I. General information

NPI: 1104922905
Provider Name (Legal Business Name): DEBBIE R AMES CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 03/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 SPRINGFIELD RD STE 2
WESTFIELD MA
01085-1855
US

IV. Provider business mailing address

65 SPRINGFIELD RD SUITE 2
WESTFIELD MA
01085-1855
US

V. Phone/Fax

Practice location:
  • Phone: 413-562-8306
  • Fax: 413-568-5678
Mailing address:
  • Phone: 413-562-8306
  • Fax: 413-568-5678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number147214
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: