Provider Demographics
NPI:1790953867
Name:PAPAZIAN, DONNA A (CNM)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:A
Last Name:PAPAZIAN
Suffix:
Gender:F
Credentials:CNM
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Other - Last Name:
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Mailing Address - Street 1:630 PLANTATION ST FL STREET12
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2038
Mailing Address - Country:US
Mailing Address - Phone:508-368-3110
Mailing Address - Fax:508-368-3113
Practice Address - Street 1:123 SUMMER ST
Practice Address - Street 2:SUITE 150 S
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1216
Practice Address - Country:US
Practice Address - Phone:508-368-3110
Practice Address - Fax:508-368-3113
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2009-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA195848367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000482801Medicare PIN