Healthcare Provider Details

I. General information

NPI: 1922273044
Provider Name (Legal Business Name): MEGAN MAUREEN DONAGHY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 10/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 WALNUT STREET SUITE 925E
PHILADELPHIA PA
19106
US

IV. Provider business mailing address

3400 SPRUCE ST FL 7
PHILADELPHIA PA
19104-4229
US

V. Phone/Fax

Practice location:
  • Phone: 215-829-8000
  • Fax: 215-235-3361
Mailing address:
  • Phone: 267-600-2988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW010175
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW010175
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: