Individual
MS. LAURA R DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
15 OLD ROLLINSFORD RD STE 102, DOVER, NH 03820-2869
(603) 749-4963
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(617) 726-3884
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
041999-23
NH
367A00000X
Advanced Practice Midwife
RN227522
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3122071
—
NH
Enumeration date
06/13/2006
Last updated
01/10/2024
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