Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 107.0129905 | VT |
NPI | 1043771744 |
---|---|
Provider Name | Alison Renee Fischman |
First Address | Wolcott, VT 05680-3030 |
Second Address | Craftsbury, VT 05826-9008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2019 |
Last Update Date | 26/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
107.0129905 | OPR (01) | VT |
19030018 | NARM, CPM (01) |