MEDICARE: LINDSAY ANN BUSHNELL CPM, NHCM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175M00000X	Lay Midwife
2	176B00000X	Midwife
3	176B00000X	Midwife	1038	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255525135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY ANN BUSHNELL CPM, NHCM

Provider Business Mailing Address
First Line	:	25 SPRING ST
Second Line	:
City	:	BROWNFIELD
State	:	ME
Zip	:	04010
Country	:	US
Telephone Number	:	207-890-7356
Fax Number	:	207-935-1565

Provider Business Practice Location Address
First Line	:	11 RIVER RD
Second Line	:
City	:	LIMINGTON
State	:	ME
Zip	:	04049-4734
Country	:	US
Telephone Number	:	207-890-7356
Fax Number	:	207-935-1565

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2007
Last Update Date	:	09/07/2012

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