Individual
MARYLOU CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
10 CAMELIA AVE, CAMBRIDGE, MA 02139-1008
(617) 665-2229
Mailing address
10 CAMELIA AVE, CAMBRIDGE, MA 02139-1008
(617) 665-2229
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN182523
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085994
—
MA
Enumeration date
02/12/2010
Last updated
05/22/2013
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