Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1154967248 |
---|---|
Provider Name | Kasey Plourde |
First Address | Amesbury, MA 01913-3530 |
Second Address | Newburyport, MA 01950-3596 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2019 |
Last Update Date | 16/11/2021 |