Healthcare Provider Details

I. General information

NPI: 1194496653
Provider Name (Legal Business Name): EMBRACE MIDWIFERY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2021
Last Update Date: 09/24/2021
Certification Date: 09/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 BRUSSELS ST STE 202
WORCESTER MA
01610-3697
US

IV. Provider business mailing address

3 BRUSSELS ST STE 202
WORCESTER MA
01610-3697
US

V. Phone/Fax

Practice location:
  • Phone: 508-873-9023
  • Fax:
Mailing address:
  • Phone: 508-873-9023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RACHEL ANN BLESSINGTON
Title or Position: MANAGER
Credential: RN, CPM
Phone: 508-873-9023