Provider Demographics
NPI:1831440825
Name:KNOWLES, AMELIA CATHERINE (CNM)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:CATHERINE
Last Name:KNOWLES
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:AMELIA
Other - Middle Name:CATHERINE
Other - Last Name:SHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:123 FRANKLIN CORNER RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2526
Mailing Address - Country:US
Mailing Address - Phone:718-332-4146
Mailing Address - Fax:609-896-3986
Practice Address - Street 1:123 FRANKLIN CORNER RD
Practice Address - Street 2:SUITE 214
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2526
Practice Address - Country:US
Practice Address - Phone:609-896-1400
Practice Address - Fax:609-896-3986
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00051200176B00000X
NYF001604176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife