Healthcare Provider Details

I. General information

NPI: 1144358219
Provider Name (Legal Business Name): BIRTH COTTAGE OF MILFORD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 08/22/2020
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 TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TRACEY ANN BOWMAN
Title or Position: CERTIFIED NURSE- MIDWIFE
Credential: MSN, CNM, ARNP
Phone: 603-673-6010