Healthcare Provider Details

I. General information

NPI: 1801326665
Provider Name (Legal Business Name): KARA MCQUILLAN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 N BETHLEHEM PIKE STE 203
AMBLER PA
19002-2655
US

IV. Provider business mailing address

714 N BETHLEHEM PIKE STE 203
AMBLER PA
19002-2655
US

V. Phone/Fax

Practice location:
  • Phone: 215-346-6682
  • Fax:
Mailing address:
  • Phone: 215-346-6682
  • Fax: 856-355-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number25ME00069801
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW010446
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberRN666201
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW010446
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: