Provider Demographics
NPI:1578069761
Name:SEVEN SISTERS MIDWIFERY
Entity Type:Organization
Organization Name:SEVEN SISTERS MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNM
Authorized Official - Prefix:MS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:413-530-0581
Mailing Address - Street 1:PO BOX 60179
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-0179
Mailing Address - Country:US
Mailing Address - Phone:413-530-0581
Mailing Address - Fax:413-517-0661
Practice Address - Street 1:150 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3131
Practice Address - Country:US
Practice Address - Phone:413-530-0581
Practice Address - Fax:413-517-0661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN156494207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1639179542OtherNPI 1