Detwiler, Laura R

Detwiler, Laura R is an individual health care provider with primary practice located at 15 Old Rollinsford Rd Ste 102 , Dover NH 03820-2869. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Detwiler, Laura R can be contacted via phone (603) 749-4963.

Contact Information

Primary practice address
15 Old Rollinsford Rd Ste 102 Dover NH 03820-2869
Phone: (603) 749-4963
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN227522 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 041999-23 New Hampshire

Profile Details

NPI number 1528001252
LBN Legal business name Detwiler, Laura R
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 10th, 2024 - about last year

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 1528001252 NPPES
New Hampshire MEDICAID 3122071

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