Healthcare Provider Details

I. General information

NPI: 1467847988
Provider Name (Legal Business Name): MEAGHAN E DOYLE-MALONE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2015
Last Update Date: 03/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 SOUTHAMPTON RD
WESTFIELD MA
01085-1324
US

IV. Provider business mailing address

395 SOUTHAMPTON RD
WESTFIELD MA
01085-1324
US

V. Phone/Fax

Practice location:
  • Phone: 413-533-2900
  • Fax: 413-568-4634
Mailing address:
  • Phone: 413-533-2900
  • Fax: 413-568-4634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number284581
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: