Provider Demographics
NPI:1457856924
Name:GLOSS, REBECCA MICHELLE (CNM)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:MICHELLE
Last Name:GLOSS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Mailing Address - Street 1:46 BARRISTER DR UNIT A-202
Mailing Address - Street 2:
Mailing Address - City:WHITE RIVER JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05001-5506
Mailing Address - Country:US
Mailing Address - Phone:978-979-8925
Mailing Address - Fax:
Practice Address - Street 1:46 BARRISTER DR UNIT A-202
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001-5506
Practice Address - Country:US
Practice Address - Phone:978-979-8925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CNM04764367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife