Dolores A Carbonneau, CNM
Individual provider Active NPI Advanced Practice Midwife · Damariscotta, ME
NPI 1811284359 · NPPES record last updated Dec 19, 2014
Key facts
- NPI
- 1811284359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- AM112003 (ME)
- Practice address
- 24 Miles Center Way
Damariscotta, ME 04543-4067 - Phone
- (207) 563-4700
- Fax
- (207) 563-4019
- NPI assigned
- Jul 6, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AM112003 | ME | MD | Advanced Practice Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | AM112003 | ME | Yes |
Addresses
Primary practice location
24 Miles Center Way
Damariscotta, ME 04543-4067
Mailing address
PO Box 745
Newcastle, ME 04553-0745
Phone (207) 563-4146
Other providers in Damariscotta, ME
- Bridget G. Buck
- Susan Elaine Burton
- Joan Cameron
- Michael William Cameron
- Dennis J. Capuano
- Elisabeth Cardali
- Sheila M Carroll
- Laurie Caton-Lemos
- Catherine E. Cavanaugh
- Central Lincoln County Ambulance
All providers in Damariscotta, ME · Advanced Practice Midwife in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.