Trista Brittany Phaneuf, CNM Valid NPI
Individual provider · Advanced Practice Midwife · Concord, MA
- NPI
- 1942580261
- Type
- Individual (Type 1)
- Primary specialty
- Advanced Practice Midwife
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 367A00000X
- License number
- 276591 (MA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-08-17
- Last updated
- 2016-10-18
Practice location
131 Old Road To 9 Acre Cor, John Cuming Building Suite 830
Concord, MA 01742-4181
(978) 371-1396