Provider Demographics
NPI:1952979304
Name:TRINITY MIDWIFERY
Entity Type:Organization
Organization Name:TRINITY MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BREADY
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:774-633-9663
Mailing Address - Street 1:351 MAIN ST STE 1RR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01540-1784
Mailing Address - Country:US
Mailing Address - Phone:774-633-9663
Mailing Address - Fax:800-467-3580
Practice Address - Street 1:351 MAIN ST STE 2R
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MA
Practice Address - Zip Code:01540-1784
Practice Address - Country:US
Practice Address - Phone:774-633-9663
Practice Address - Fax:800-467-3580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-13
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty