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Individual
ELISABETH HYDE
Active
Individual
ELISABETH HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MSN
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
LMN000002
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000002
CONNECTICARE
—
05
—
004262854
—
CT
01
—
0Q2756
HEALTHNET
—
01
—
2143127
UNITED HEALTH CARE
CT
01
—
400000002CT01
ANTHEM
CT
01
—
D2391966
OXFORD
—
Enumeration date
06/28/2005
Last updated
05/22/2008
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