Individual
EMMA FORMAN GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
25 S RIVER RD, BEDFORD, NH 03110-6708
(603) 695-2900
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
116743-23
NH
367A00000X
Advanced Practice Midwife
Primary
116743-23
NH
Other
Enumeration date
02/23/2026
Last updated
04/07/2026
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