NPI | 1649835570 |
---|---|
Former Name | MATTHEW WILLIAM MACDONALD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA RN2264206) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA RN2264206) | |
163W00000X Registered Nurse (Licence: MA RN2264206) | |
Enumeration Date | 2019-05-06 |
Last Update Date | 2021-07-28 |