Healthcare Provider Details

I. General information

NPI: 1295669554
Provider Name (Legal Business Name): MEGAN CONROY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 POWELL AVE
NEWPORT RI
02840-2299
US

IV. Provider business mailing address

15 LA SALLE SQ
PROVIDENCE RI
02903-1814
US

V. Phone/Fax

Practice location:
  • Phone: 401-848-5556
  • Fax: 401-519-2994
Mailing address:
  • Phone: 401-444-6779
  • Fax: 401-444-6912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM00245
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: