Individual
WILLOW MORYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
046706-23
NH
367A00000X
Advanced Practice Midwife
101.0085851
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010878
—
VT
05
—
30343213
—
NH
01
—
373299
MVP HEALTHCARE
—
01
—
40Y007826NH01
BLUE SHIELD
NH
01
—
68440
BLUE SHIELD
VT
Enumeration date
07/06/2006
Last updated
12/06/2024
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