=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992828784
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CYNTHIA A. OWEN CPM, NHCM
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/09/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 713 HILL RD
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03235-1157
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-934-3229
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 713 HILL RD
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03235-1157
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-934-3229
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 176B00000X
-----------------------------------------------------
Taxonomy Name | Midwife
-----------------------------------------------------
License Number | 1028
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------