MEDICARE: CAITLIN ELIZABETH MANELA CD, CCE(BWI)

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
1	374J00000X	Doula
2	176B00000X	Midwife	DEM00039	MD

General Provider Information

NPI Number	:	1568778322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN ELIZABETH MANELA CD, CCE(BWI)

Provider Business Mailing Address
First Line	:	5411 MOUNT GILEAD RD
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-4110
Country	:	US
Telephone Number	:	240-997-5319
Fax Number	:

Provider Business Practice Location Address
First Line	:	5411 MOUNT GILEAD RD
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-4110
Country	:	US
Telephone Number	:	240-997-5319
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2010
Last Update Date	:	09/12/2024

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Directions to “ CAITLIN ELIZABETH MANELA CD, CCE(BWI)” Practice Location

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