IndividualActive
Heather Bacon, CNM
NPI 1235261389 · Advanced Practice Midwife · Portland, ME
Provider details
- NPI number
- 1235261389
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- License
- 622397 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
163 Edwards St
Portland, ME 04102-2539
Phone: (619) 401-3712
Approximate (ZIP-level) locationGet directions
Mailing address
163 Edwards St
Portland, ME 04102-2539
Registry dates
- Enumerated
- 2007-03-12
- Last updated
- 2015-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.