Individual
MARTHA ELIZABETH CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
353 BLAIR PARK RD, WILLISTON, VT 05495-7530
(802) 847-1245
(802) 847-6472
Mailing address
500 S WILLARD ST, BURLINGTON, VT 05401-4005
(802) 658-2756
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
101-0020572
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004465
—
VT
Enumeration date
08/24/2006
Last updated
07/08/2007
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