Provider Demographics
NPI:1386884609
Name:GENTLE LANDING MIDWIFERY, PLLC
Entity type:Organization
Organization Name:GENTLE LANDING MIDWIFERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRAMHALL
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:802-279-3158
Mailing Address - Street 1:174 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-3827
Mailing Address - Country:US
Mailing Address - Phone:802-279-3158
Mailing Address - Fax:802-479-9050
Practice Address - Street 1:25 COLBY ST
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-2705
Practice Address - Country:US
Practice Address - Phone:802-279-3158
Practice Address - Fax:802-448-6880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1070000044176B00000X, 176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1014821Medicaid
VT108773Medicaid