=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093712663
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PAMELA K TOWNSHEND CNM, MSN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/28/2005
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 675 S MAIN ST
-----------------------------------------------------
City | CHESHIRE
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06410-3153
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-272-1811
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 675 S MAIN ST
-----------------------------------------------------
City | CHESHIRE
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06410-3153
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-250-2125
-----------------------------------------------------
Fax | 203-250-2161
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367A00000X
-----------------------------------------------------
Taxonomy Name | Advanced Practice Midwife
-----------------------------------------------------
License Number | 000005 LNM
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------