IndividualActive
Mary Bascom
NPI 1245054139 · Doula · Enfield, CT
Provider details
- NPI number
- 1245054139
- Entity type
- Individual
- Primary specialty
- DoulaNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
- Doula374J00000X
Nursing Service Related Providers
Practice location
1489 Enfield St
Enfield, CT 06082-5540
Phone: (860) 989-3806
Approximate (ZIP-level) locationGet directions
Mailing address
1489 Enfield St
Enfield, CT 06082-5540
Registry dates
- Enumerated
- 2024-11-08
- Last updated
- 2024-11-08
- Certified
- 2024-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.