Healthcare Provider Details

I. General information

NPI: 1548195274
Provider Name (Legal Business Name): AWA NAPON ZONGO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 CHESTNUT ST STE 230
WORCESTER MA
01608-1557
US

IV. Provider business mailing address

29 ELBRIDGE RD
AUBURN MA
01501-1849
US

V. Phone/Fax

Practice location:
  • Phone: 774-417-1756
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: