Whalio Doctors

NPI 1235261389

Heather Elisabeth Bacon, CNM

Practitioner Advanced Practice Midwife Portland, ME

Practice location

Address
163 Edwards St, Portland, ME 04102-2539
Phone
(619) 401-3712

Registered specialties (2)

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X
Community Health Registered Nurse
Nursing Service Providers Taxonomy 163WC1500X Licence 622397 (CA)

Registry record

NPI
1235261389
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Mar 2007
Record last updated
6 Aug 2015

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.