Provider Demographics
NPI:1245412618
Name:CHURCH, ANGELA CHRISTINE (NHCM CPM)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:CHRISTINE
Last Name:CHURCH
Suffix:
Gender:F
Credentials:NHCM CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 125
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTERFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03466-0125
Mailing Address - Country:US
Mailing Address - Phone:603-256-3123
Mailing Address - Fax:603-719-0637
Practice Address - Street 1:701 RTE 9
Practice Address - Street 2:
Practice Address - City:WEST CHESTERFIELD
Practice Address - State:NH
Practice Address - Zip Code:03466
Practice Address - Country:US
Practice Address - Phone:603-256-3123
Practice Address - Fax:603-719-0637
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1032176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife