Individual
DIANE L. HERLIHY-RAYLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1312
(508) 368-3110
(508) 368-3113
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605-2038
(508) 368-3110
(508) 368-3113
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
128722
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0380920
MEDICAID/WELFARE
—
05
—
0380920
—
MA
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
2731108
CIGNA HEALTH PLAN
—
01
—
420000550
RAILROAD MEDICARE
—
01
—
43919
CHILDRENS MEDICAL SECURIT
—
01
—
61225
FALLON COMMUNITY HEALTH P
—
01
—
7806647
AETNA/US HEALTHCARE
—
01
—
AA3614
HARVARD PILGRIM HEALTHCAR
—
01
—
CN0159
BLUE SHIELD INDEMNITY
—
01
—
RN0016
MEDICARE B
—
Enumeration date
12/20/2005
Last updated
05/09/2012
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