Provider Demographics
NPI:1932451978
Name:WHELAN, MARY (CD(DONA))
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:WHELAN
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 CUTLER ST REAR
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:MA
Mailing Address - Zip Code:02152-1210
Mailing Address - Country:US
Mailing Address - Phone:617-642-1644
Mailing Address - Fax:
Practice Address - Street 1:29 CUTLER ST REAR
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:MA
Practice Address - Zip Code:02152-1210
Practice Address - Country:US
Practice Address - Phone:617-642-1644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-14
Last Update Date:2012-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula