Individual provider · NPI-1

Eileen Grillo, CNM

Midwife · Portland, ME

NPI number1275638843
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1275638843
Entity type
Individual (NPI-1)
Name
Eileen Grillo
Credential
CNM
Sex
Female
Sole proprietor
No
Enumeration date
Sep 14, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
176B00000X MidwifeR028070MEYes

Practice location

527 Ocean Ave
Portland, ME 04103-4972

Phone 207-871-0666 · Fax 207-347-7151

Mailing address

527 Ocean Ave
Portland, ME 04103-4972

Phone 207-871-0666 · Fax 207-347-7151

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