Provider Demographics
NPI:1568708337
Name:NOWLAND, MEGHAN KATHERINE (CPM, IBCLC)
Entity type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:KATHERINE
Last Name:NOWLAND
Suffix:
Gender:F
Credentials:CPM, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-1132
Mailing Address - Country:US
Mailing Address - Phone:978-397-0666
Mailing Address - Fax:
Practice Address - Street 1:617 MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:IN
Practice Address - Zip Code:47012-1280
Practice Address - Country:US
Practice Address - Phone:513-399-7263
Practice Address - Fax:513-407-8021
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-21
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9000001176B00000X
174N00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwife
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty