Basic Information
| Provider Information | |||||||||
| NPI: | 1316948607 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HONAN | ||||||||
| FirstName: | JULIE | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 148 EAST AVE | ||||||||
| Address2: | SUITE 3H | ||||||||
| City: | NORWALK | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068515721 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2033546100 | ||||||||
| FaxNumber: | 2033546182 | ||||||||
| Practice Location | |||||||||
| Address1: | 68 CAMP ST | ||||||||
| Address2: | |||||||||
| City: | HYANNIS | ||||||||
| State: | MA | ||||||||
| PostalCode: | 026013048 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5087754100 | ||||||||
| FaxNumber: | 5087710515 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 176B00000X | 225787 | MA | Y | Other Service Providers | Midwife |
No ID Information.