Healthcare Provider Details

I. General information

NPI: 1437958030
Provider Name (Legal Business Name): MORGAN RAE POLLOCK CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 SCHOENERSVILLE RD
BETHLEHEM PA
18017-7300
US

IV. Provider business mailing address

317 CLUMP RD
GREEN LANE PA
18054-2458
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-4870
  • Fax:
Mailing address:
  • Phone: 267-663-8312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW010890
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberRN704209
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: