Katherine Gleason Beach, CNM
Advanced Practice Midwife in South Portland, ME. Individual provider (NPI-1).
NPI number1629068960
StatusActive
Last updated in NPPESFeb 17, 2012
Details
- NPI
- 1629068960
- Entity type
- Individual (NPI-1)
- Name
- Katherine Gleason Beach
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2005
- Last updated
- Feb 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | CNM82029 | ME | Yes |
Practice location
100 Brickhill AveSouth Portland, ME 04106-1999
Phone 207-761-1502 · Fax 207-774-2015
Mailing address
301 Us Route 1Building C
Scarborough, ME 04074-7609
Phone 207-396-8600 · Fax 207-396-8632
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