Provider Demographics
NPI:1104922905
Name:AMES, DEBBIE R (CNM)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:R
Last Name:AMES
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:65 SPRINGFIELD RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-1855
Mailing Address - Country:US
Mailing Address - Phone:413-562-8306
Mailing Address - Fax:413-568-5678
Practice Address - Street 1:65 SPRINGFIELD RD
Practice Address - Street 2:STE 2
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-1855
Practice Address - Country:US
Practice Address - Phone:413-562-8306
Practice Address - Fax:413-568-5678
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA147214367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP21280Medicare UPIN
1004760001Medicare NSC