Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 1046 | NH |
NPI | 1013355718 |
---|---|
Provider Name | Beth Irvine |
First Address | Milford, NH 03055-3048 |
Second Address | Milford, NH 03055-3724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2013 |
Last Update Date | 05/06/2013 |