MEDICARE: LINDA GRIFFITHS CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	016050-23-01	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4006478Y0NH01	OTHER	NH	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528042652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA GRIFFITHS CNM

Provider Business Mailing Address
First Line	:	30 CANTON ST
Second Line	:	SUITE 6
City	:	MANCHESTER
State	:	NH
Zip	:	03103-3524
Country	:	US
Telephone Number	:	603-624-1638
Fax Number	:	603-624-1972

Provider Business Practice Location Address
First Line	:	30 CANTON ST
Second Line	:	SUITE 6
City	:	MANCHESTER
State	:	NH
Zip	:	03103-3524
Country	:	US
Telephone Number	:	603-624-1638
Fax Number	:	603-624-1972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	07/08/2007

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Directions to “ LINDA GRIFFITHS CNM” Practice Location

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