IndividualActive
Theresa Bainbridge, CNM
NPI 1639797624 · Advanced Practice Midwife · Providence, RI
Provider details
- NPI number
- 1639797624
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- License
- CNM00207 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Advanced Practice Midwife367A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
148 W River St Ste G
Providence, RI 02904-2615
Phone: (401) 606-3000
Approximate (ZIP-level) locationGet directions
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Additional practice locations (1)
- 101 S Wall StCarbondale, IL 62901-3021Phone: (618) 519-9200Fax: (618) 519-9961
Registry dates
- Enumerated
- 2020-07-07
- Last updated
- 2023-03-30
- Certified
- 2023-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.