Individual
ELLEN P MCANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
57 MASCOMA ST, SUITE G1-1, LEBANON, NH 03766-2642
(603) 442-5677
(603) 448-7462
Mailing address
125 MASCOMA ST, LEBANON, NH 03766-2647
(603) 448-3121
(603) 448-7462
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0196842301
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00005558
BC BS VT
VT
05
—
1002476
—
VT
01
—
22470Y
ANTHEM UPIN
NH
05
—
30343027
—
NH
Enumeration date
09/30/2005
Last updated
01/26/2010
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