Provider Demographics
NPI:1497485643
Name:BAIN, MEGAN (CLD, CPE)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:BAIN
Suffix:
Gender:F
Credentials:CLD, CPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 PENSTON AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2713
Mailing Address - Country:US
Mailing Address - Phone:401-486-6967
Mailing Address - Fax:
Practice Address - Street 1:8 PENSTON AVE
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2713
Practice Address - Country:US
Practice Address - Phone:401-486-6967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-11
Last Update Date:2022-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula