Provider Demographics
NPI:1306558994
Name:BASHAW, MARY K (CD(DONA))
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:K
Last Name:BASHAW
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:K
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:263 ERWIN HILLS RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2188
Mailing Address - Country:US
Mailing Address - Phone:410-818-0607
Mailing Address - Fax:
Practice Address - Street 1:263 ERWIN HILLS RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2188
Practice Address - Country:US
Practice Address - Phone:410-818-0607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula