Whalio Doctors

NPI 1629068960

Katherine Gleason Beach, CNM

Practitioner Advanced Practice Midwife South Portland, ME

Practice location

Address
100 Brickhill Ave, South Portland, ME 04106-1999
Phone
(207) 761-1502
Fax
(207) 774-2015
Mailing address
301 US Route 1 Building C, Scarborough, ME 04074-7609

Registered specialties

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence CNM82029 (ME)

Registry record

NPI
1629068960
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Oct 2005
Record last updated
17 Feb 2012

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.