Provider Demographics
NPI:1306865530
Name:MORSE, TAMI T (CNM)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:T
Last Name:MORSE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:387 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-6616
Mailing Address - Country:US
Mailing Address - Phone:802-254-2324
Mailing Address - Fax:802-257-9164
Practice Address - Street 1:387 CANAL ST
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6616
Practice Address - Country:US
Practice Address - Phone:802-254-2324
Practice Address - Fax:802-257-9164
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1010019954367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife