Healthcare Provider Details

I. General information

NPI: 1932407830
Provider Name (Legal Business Name): BIRTH COTTAGE OF MILFORD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2011
Last Update Date: 03/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 PROSPECT ST
MILFORD NH
03055-3724
US

IV. Provider business mailing address

4 PROSPECT ST
MILFORD NH
03055-3724
US

V. Phone/Fax

Practice location:
  • Phone: 603-673-6010
  • Fax: 603-673-6014
Mailing address:
  • Phone: 603-673-6010
  • Fax: 603-673-6014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number1035
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number032577-23
License Number StateNH
# 3
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number1026
License Number StateNH

VIII. Authorized Official

Name: MRS. ADRIAN E FELDHUSEN
Title or Position: PARTNER
Credential: CPM, NHCM
Phone: 603-673-6010