Provider Demographics
NPI:1831865153
Name:CHANGE WITH MORE EASE LLC
Entity type:Organization
Organization Name:CHANGE WITH MORE EASE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:603-667-6743
Mailing Address - Street 1:329 MURRAY HILL DR
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-4216
Mailing Address - Country:US
Mailing Address - Phone:603-667-6743
Mailing Address - Fax:866-309-2937
Practice Address - Street 1:20 W PARK ST STE 420
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1322
Practice Address - Country:US
Practice Address - Phone:603-667-6743
Practice Address - Fax:866-309-2937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty