Healthcare Provider Details

I. General information

NPI: 1508852880
Provider Name (Legal Business Name): VICTORIA ZIEMER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 08/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 HOLLIS ST
MANCHESTER NH
03101-1235
US

IV. Provider business mailing address

145 HOLLIS ST
MANCHESTER NH
03101-1235
US

V. Phone/Fax

Practice location:
  • Phone: 603-626-9500
  • Fax: 603-626-0899
Mailing address:
  • Phone: 603-626-9500
  • Fax: 603-626-0899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number055440-23-01
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: