Provider Demographics
NPI:1083939656
Name:PRICE-WOOD, REBECCA SUZANNE (MIDWIFE)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:SUZANNE
Last Name:PRICE-WOOD
Suffix:
Gender:F
Credentials:MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 THE SQUARE
Mailing Address - Street 2:SUITE 24
Mailing Address - City:BELLOWS FALLS
Mailing Address - State:VT
Mailing Address - Zip Code:05101
Mailing Address - Country:US
Mailing Address - Phone:978-616-7122
Mailing Address - Fax:844-801-4772
Practice Address - Street 1:18 THE SQUARE
Practice Address - Street 2:SUITE 24
Practice Address - City:BELLOWS FALLS
Practice Address - State:VT
Practice Address - Zip Code:05101
Practice Address - Country:US
Practice Address - Phone:978-616-7122
Practice Address - Fax:844-801-4772
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ107.0129383176B00000X
NH105.8176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife