Healthcare Provider Details

I. General information

NPI: 1942675434
Provider Name (Legal Business Name): MORNINGSTAR MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2015
Last Update Date: 12/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 HIGH ST
BELFAST ME
04915-6351
US

IV. Provider business mailing address

111 HIGH ST
BELFAST ME
04915-6351
US

V. Phone/Fax

Practice location:
  • Phone: 207-338-0708
  • Fax: 207-805-6477
Mailing address:
  • Phone: 207-338-0708
  • Fax: 207-805-6477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: MS. ELEANOR GODDARD DANIELS
Title or Position: OWNER
Credential: C.P.M.
Phone: 207-322-6464