Healthcare Provider Details

I. General information

NPI: 1760992002
Provider Name (Legal Business Name): HANNAH CRESSY NORTH CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2017
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 HIGH ST
BRATTLEBORO VT
05301-3001
US

IV. Provider business mailing address

PO BOX 347
MARLBORO VT
05344-0347
US

V. Phone/Fax

Practice location:
  • Phone: 866-476-1321
  • Fax:
Mailing address:
  • Phone: 802-598-4314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number101.0134108
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: