Provider Demographics
NPI:1861048175
Name:CAUDLE, MARIA CHRISTINA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CHRISTINA
Last Name:CAUDLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 OAKRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-4180
Mailing Address - Country:US
Mailing Address - Phone:508-463-5591
Mailing Address - Fax:
Practice Address - Street 1:271 OAKRIDGE AVE
Practice Address - Street 2:
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-4180
Practice Address - Country:US
Practice Address - Phone:508-463-5591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife