Provider Demographics
NPI:1659358307
Name:WATROUS, BARBARA (CNM)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:WATROUS
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 1:22 JONATHAN CIR
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4899
Mailing Address - Country:US
Mailing Address - Phone:603-673-5025
Mailing Address - Fax:
Practice Address - Street 1:22 JONATHAN CIR
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4899
Practice Address - Country:US
Practice Address - Phone:603-673-5025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH037934-23367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH40345647Medicaid
NHP32086Medicare UPIN
NH40345647Medicaid