Provider Demographics
NPI:1851005490
Name:BRONZ, MEG T (CERTIFIED DOULA)
Entity Type:Individual
Prefix:
First Name:MEG
Middle Name:T
Last Name:BRONZ
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 RICHARD ST
Mailing Address - Street 2:
Mailing Address - City:WINOOSKI
Mailing Address - State:VT
Mailing Address - Zip Code:05404-1855
Mailing Address - Country:US
Mailing Address - Phone:802-399-8876
Mailing Address - Fax:
Practice Address - Street 1:10 RICHARD ST
Practice Address - Street 2:
Practice Address - City:WINOOSKI
Practice Address - State:VT
Practice Address - Zip Code:05404-1855
Practice Address - Country:US
Practice Address - Phone:802-399-8876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula