Individual
CANDACE DELISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
44 BIRCH ST, SUITE 103B, DERRY, NH 03038-2752
(603) 421-2460
(603) 421-2479
Mailing address
770 CENTRAL AVE, DOVER, NH 03820-3437
(603) 742-0101
(603) 743-3171
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0218662301
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30341237
—
NH
01
—
4008816Y0NH01
ANTHEM
NH
Enumeration date
07/02/2006
Last updated
05/28/2009
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