Healthcare Provider Details

I. General information

NPI: 1568510246
Provider Name (Legal Business Name): CYNTHIA L MORRISON CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 BELMONT RD
LACONIA NH
03246-3725
US

IV. Provider business mailing address

8 COVENTRY RD
CONCORD NH
03301-3027
US

V. Phone/Fax

Practice location:
  • Phone: 603-524-5453
  • Fax:
Mailing address:
  • Phone: 603-224-4821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number024985-23-01
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: