Provider Demographics
NPI:1831968395
Name:MARGENOT, AVERY ELIZABETH (MPH, C-DOULA)
Entity type:Individual
Prefix:
First Name:AVERY
Middle Name:ELIZABETH
Last Name:MARGENOT
Suffix:
Gender:F
Credentials:MPH, C-DOULA
Other - Prefix:
Other - First Name:AVERY
Other - Middle Name:ELIZABETH
Other - Last Name:DESROSIERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:38 ALBION ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-1103
Mailing Address - Country:US
Mailing Address - Phone:860-995-5254
Mailing Address - Fax:
Practice Address - Street 1:38 ALBION ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-1103
Practice Address - Country:US
Practice Address - Phone:860-995-5254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula