MEDICARE: HANNAH CRESSY NORTH 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	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	101.0134108	VT
2	367A00000X	Advanced Practice Midwife

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	:	1760992002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH CRESSY NORTH CNM

Provider Business Mailing Address
First Line	:	PO BOX 347
Second Line	:
City	:	MARLBORO
State	:	VT
Zip	:	05344-0347
Country	:	US
Telephone Number	:	802-598-4314
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 HIGH ST
Second Line	:
City	:	BRATTLEBORO
State	:	VT
Zip	:	05301-3001
Country	:	US
Telephone Number	:	866-476-1321
Fax Number	:

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

Provider Enumeration Date	:	09/30/2017
Last Update Date	:	09/03/2025

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