Provider Demographics
NPI:1952368821
Name:COHEN, FRANCINE D (CNM)
Entity Type:Individual
Prefix:MS
First Name:FRANCINE
Middle Name:D
Last Name:COHEN
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 1:49 LEDGEMERE ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-4822
Mailing Address - Country:US
Mailing Address - Phone:802-862-3526
Mailing Address - Fax:
Practice Address - Street 1:183 TALCOTT RD
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-2089
Practice Address - Country:US
Practice Address - Phone:802-878-4800
Practice Address - Fax:802-879-4433
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1010014284367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT4000024Medicaid
11476651OtherCAQH
VT2444977OtherCIGNA
VT4000024Medicaid