Healthcare Provider Details

I. General information

NPI: 1164189056
Provider Name (Legal Business Name): DAPHNE VOSBERG CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2021
Last Update Date: 11/26/2021
Certification Date: 11/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KM 5 HCT 1 CARR 997 BO DESTINO INT.
VIEQUES PR
00765
US

IV. Provider business mailing address

PO BOX 1138
VIEQUES PR
00765-1138
US

V. Phone/Fax

Practice location:
  • Phone: 919-244-1537
  • Fax:
Mailing address:
  • Phone: 919-244-1537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: