Individual
MS. MARY T OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
188081
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043202198
CIGNA
—
01
—
21220010314
BEECH STREET
—
01
—
40476
HEALTHY START
—
01
—
CN0096
BCBS OF MA
—
Enumeration date
07/21/2005
Last updated
07/06/2016
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