Individual
MS. ELIZABETH ROSS BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CNM
Contact information
Practice address
421 W 1ST ST, BLOOMINGTON, IN 47403-2403
(812) 336-0168
(812) 335-7372
Mailing address
421 W 1ST ST, BLOOMINGTON, IN 47403-2403
(812) 336-0168
(812) 335-7372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28116356A
IN
367A00000X
Advanced Practice Midwife
Primary
09000035
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200227350A
—
IN
Enumeration date
06/26/2006
Last updated
05/07/2008
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