Provider Demographics
NPI:1376650986
Name:MORELLI, ERIN MARY (CNM)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:MARY
Last Name:MORELLI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:MCCOURT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:PO BOX 1951
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05302-1951
Mailing Address - Country:US
Mailing Address - Phone:508-595-0531
Mailing Address - Fax:508-829-5367
Practice Address - Street 1:1441 CHAPEL ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-4403
Practice Address - Country:US
Practice Address - Phone:203-789-3029
Practice Address - Fax:203-857-5441
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000238367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004225779Medicaid
420000123Medicare ID - Type Unspecified
P73695Medicare UPIN
CT004225779Medicaid