Delisio, Candace

Delisio, Candace is an individual health care provider with primary practice located at 44 Birch St Suite 103B, Derry NH 03038-2752. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Delisio, Candace can be contacted via phone (603) 421-2460.

Contact Information

Primary practice address
44 Birch St Suite 103B Derry NH 03038-2752
Fax: (603) 421-2479
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 0218662301 New Hampshire

Profile Details

NPI number 1720017619
LBN Legal business name Delisio, Candace
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated May 28th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720017619 NPPES
New Hampshire Other 4008816Y0NH01 ANTHEM
New Hampshire MEDICAID 30341237 ANTHEM

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