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NPI Code Detail

MEDICARE: MARYLOU CARR CNM

MEDICARE: MARYLOU CARR CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeRN182523MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457683617
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYLOU CARR CNM
Provider Business Mailing Address
First Line : 10 CAMELIA AVE
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02139-1008
Country : US
Telephone Number : 617-665-2229
Fax Number :
Provider Business Practice Location Address
First Line : 10 CAMELIA AVE
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02139-1008
Country : US
Telephone Number : 617-665-2229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2010
Last Update Date : 05/22/2013

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Directions to “ MARYLOU CARR CNM” Practice Location

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