Healthcare Provider Details

I. General information

NPI: 1811482953
Provider Name (Legal Business Name): BRIDGET AILEEN MCLAUGHLIN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2018
Last Update Date: 11/03/2023
Certification Date: 04/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 BAY PARK DR STE 300
OREGON OH
43616-4922
US

IV. Provider business mailing address

2751 BAY PARK DR STE 300
OREGON OH
43616-4922
US

V. Phone/Fax

Practice location:
  • Phone: 419-690-7596
  • Fax: 419-734-3120
Mailing address:
  • Phone: 419-690-7596
  • Fax: 419-734-3120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number4704224175
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberAPRN.CNM.19421
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: