Basic Information
Provider Information
NPI: 1376614883
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARTHUR
FirstName: MEGHAN
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 21 BELMONT AVE
Address2:  
City: BRATTLEBORO
State: VT
PostalCode: 053017110
CountryCode: US
TelephoneNumber: 8022519965
FaxNumber: 8022519972
Practice Location
Address1: 28 BELMONT AVE
Address2:  
City: BRATTLEBORO
State: VT
PostalCode: 053013498
CountryCode: US
TelephoneNumber: 8022519965
FaxNumber: 8022519972
Other Information
ProviderEnumerationDate: 11/13/2006
LastUpdateDate: 12/07/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/07/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X1010039762VTN Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 
367A00000X735012TXN Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 
363LX0001X1010039762VTY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology

No ID Information.


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