MEDICARE: SUSAN DOW JOHNSON CNM, MSN

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	LNM000096	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	400000096CT01	OTHER	CT	ANTHEM
2	P2646485	OTHER		OXFORD HEALTH PLANS
3	000096	OTHER		CONNECTICARE
4	0Q2709	OTHER		HEALTHNET

General Provider Information

NPI Number	:	1598762023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN DOW JOHNSON CNM, MSN

Provider Business Mailing Address
First Line	:	30 CANTON ST
Second Line	:	SUITE 6
City	:	MANCHESTER
State	:	NH
Zip	:	03103-3524
Country	:	US
Telephone Number	:	603-624-1638
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 CANTON ST
Second Line	:	SUITE 6
City	:	MANCHESTER
State	:	NH
Zip	:	03103-3524
Country	:	US
Telephone Number	:	603-624-1638
Fax Number	:

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	09/21/2007

Similar Medicare Providers

1588669477 — ROBERT A FREMEAU DMD
Practice Location Address:

30 CANTON ST , STE 12
MANCHESTER, NH
03103-3524

Practice Phone: 603-668-6434
Practice Fax:

1154327591 — JAMES P BARTELS MD
Practice Location Address:

30 CANTON ST , STE 2
MANCHESTER, NH
03103-3524

Practice Phone: 603-622-3623
Practice Fax: 603-625-5483

1679579023 — DR. JEFFREY M ZIMMERMAN MD
Practice Location Address:

30 CANTON ST , STE 2
MANCHESTER, NH
03103-3524

Practice Phone: 603-622-3623
Practice Fax: 603-625-5483

1043294564 — DR. MARY JO MONTANARELLA M.D
Practice Location Address:

30 CANTON ST , SUITE 6
MANCHESTER, NH
03103-3524

Practice Phone: 603-624-1638
Practice Fax: 603-624-1972

1528042652 — LINDA GRIFFITHS CNM
Practice Location Address:

30 CANTON ST , SUITE 6
MANCHESTER, NH
03103-3524

Practice Phone: 603-624-1638
Practice Fax: 603-624-1972

1750367884 — DR. ANDREW RYAN SPECTOR MD
Practice Location Address:

30 CANTON ST
MANCHESTER, NH
03103-3524

Practice Phone: 603-622-3623
Practice Fax: 603-625-5483

Directions to “ SUSAN DOW JOHNSON CNM, MSN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.