Organization
VITALITY HOME BIRTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON RENEE FISCHMAN CPM, LM (OWNER)
(202) 747-4757
Entity
Organization
Contact information
Practice address
1037 S CRAFTSBURY RD, CRAFTSBURY, VT 05826-9008
(202) 747-4757
Mailing address
24 FRAZER RD, WOLCOTT, VT 05680-3030
(202) 747-4757
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070129905
LM
VT
01
—
19030018
CPM
—
Enumeration date
03/29/2019
Last updated
03/29/2019
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