Healthcare Provider Details

I. General information

NPI: 1457380362
Provider Name (Legal Business Name): MOLLY STEELE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 CENTRAL AVE
DOVER NH
03820-3437
US

IV. Provider business mailing address

770 CENTRAL AVE
DOVER NH
03820-3437
US

V. Phone/Fax

Practice location:
  • Phone: 603-742-0101
  • Fax: 603-743-3171
Mailing address:
  • Phone: 603-742-0101
  • Fax: 603-743-3171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number0549012301
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number054901-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: