NPI 1104007368

Wareham Nurse Midwives PC

Organisation Midwife Wareham, MA

Practice location

Address: 332 Main Street, Wareham, MA 02571
Phone: (508) 295-3088
Fax: (508) 295-2079

Authorised official

Name: Louise Racine Bastarache
Title: President
Phone: (508) 295-3088

Registered specialties (3)

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 143429 (MA)

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 143429 (MA)

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Advanced Practice Midwife

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 275550 (MA)

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Registry record

NPI: 1104007368
Entity type: Organization
NPI issued: 16 Nov 2007
Record last updated: 3 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.