Provider Demographics
NPI:1407148596
Name:ALLEN, HANNAH CORDES (CPM, LM)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:CORDES
Last Name:ALLEN
Suffix:
Gender:F
Credentials:CPM, LM
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 1496
Mailing Address - Street 2:MORRISVILLE
Mailing Address - City:MORRISVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05661-1496
Mailing Address - Country:US
Mailing Address - Phone:802-989-8477
Mailing Address - Fax:
Practice Address - Street 1:180 UNION ST
Practice Address - Street 2:MORRISVILLE
Practice Address - City:MORRISVILLE
Practice Address - State:VT
Practice Address - Zip Code:05661-6060
Practice Address - Country:US
Practice Address - Phone:802-989-8477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT107.0076636175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay