MEDICARE: MRS. ERIN MARY MORELLI CNM

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	367A00000X	Advanced Practice Midwife	000238	CT

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	:	1376650986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN MARY MORELLI CNM

Provider Business Mailing Address
First Line	:	PO BOX 1951
Second Line	:
City	:	BRATTLEBORO
State	:	VT
Zip	:	05302-1951
Country	:	US
Telephone Number	:	508-595-0531
Fax Number	:	508-829-5367

Provider Business Practice Location Address
First Line	:	1441 CHAPEL ST
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-4403
Country	:	US
Telephone Number	:	203-789-3029
Fax Number	:	203-857-5441

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	09/15/2008

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