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NPI Code Detail

MEDICARE: MEAGHAN EVANS BELKNAP CNM, RN

MEDICARE: MEAGHAN EVANS BELKNAP CNM, RN
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 Midwife11979WI

General Provider Information

NPI Number : 1770706533
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGHAN EVANS BELKNAP CNM, RN
Provider Business Mailing Address
First Line : 913 4TH ST
Second Line :
City : NEW GLARUS
State : WI
Zip : 53574-9621
Country : US
Telephone Number : 608-527-5422
Fax Number :
Provider Business Practice Location Address
First Line : 302 N JACKSON ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-5904
Country : US
Telephone Number : 414-271-8045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 07/08/2007

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