# MIDWIFEMAMAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104581107
- **Authorized official:** MRS. MICHELLE KILLINGSWORTH CNM (MANAGER/OWNER)
- **Authorized official phone:** (860) 933-2988

## Contact information

- **Practice address:** 12 CASE ST STE 102, NORWICH, CT 06360-2222
- **Practice address phone:** (888) 607-0046
- **Practice address fax:** (888) 690-0088
- **Mailing address:** 12 CASE ST STE 102, NORWICH, CT 06360-2222
- **Mailing address phone:** (888) 607-0046
- **Mailing address fax:** (888) 690-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WL0100X | Lactation Consultant (Registered Nurse) | — | NULL | — |
| 163WL0100X | Lactation Consultant (Registered Nurse) | — | — | — |
| 163WN1003X | Nutrition Support Registered Nurse | — | NULL | — |
| 163WN1003X | Nutrition Support Registered Nurse | — | — | — |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | NULL | Yes |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 374J00000X | Doula | — | NULL | — |
| 374J00000X | Doula | — | — | — |

## Other

- **Enumeration date:** 11/03/2021
- **Last updated:** 03/30/2026