Provider Demographics
NPI:1902408990
Name:MCNAMEE-TWEED, BRYN (CNM)
Entity Type:Individual
Prefix:
First Name:BRYN
Middle Name:
Last Name:MCNAMEE-TWEED
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 PROSPECT ST APT 255
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7809
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 MADISON AVE STE 308
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7347
Practice Address - Country:US
Practice Address - Phone:973-285-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
367A00000X
NY688244-01163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY688244OtherREGISTERED PROFESSIONAL NURSE
06218OtherAMERICAN MIDWIFERY CERTIFICATION BOARD
NJ021965OtherREGISTERED PROFESSIONAL NURSE