MEDICARE: ASHLEY ELIZABETH MINIHAN CD (DONA), CLC, CPST

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

General Provider Information

NPI Number	:	1669051686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ELIZABETH MINIHAN CD (DONA), CLC, CPST

Provider Business Mailing Address
First Line	:	228 ELMWOOD CIR
Second Line	:
City	:	CHESHIRE
State	:	CT
Zip	:	06410-4211
Country	:	US
Telephone Number	:	860-638-9133
Fax Number	:

Provider Business Practice Location Address
First Line	:	228 ELMWOOD CIR
Second Line	:
City	:	CHESHIRE
State	:	CT
Zip	:	06410-4211
Country	:	US
Telephone Number	:	860-638-9133
Fax Number	:

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

Provider Enumeration Date	:	04/06/2021
Last Update Date	:	04/06/2021

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