Healthcare Provider Details

I. General information

NPI: 1063659886
Provider Name (Legal Business Name): ELIZABETH FIFIELD GABY NH CERTIFIED MIDWIFE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2009
Last Update Date: 01/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 SPAULDING ST
CONCORD NH
03301-2570
US

IV. Provider business mailing address

12 SPAULDING ST
CONCORD NH
03301-2570
US

V. Phone/Fax

Practice location:
  • Phone: 603-225-2328
  • Fax: 603-225-1197
Mailing address:
  • Phone: 603-225-2328
  • Fax: 603-225-1197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number1033
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: