Provider Demographics
NPI:1861700940
Name:EASTMAN, BRIGITTE E B (CPM, NHCM)
Entity type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:E B
Last Name:EASTMAN
Suffix:
Gender:F
Credentials:CPM, NHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 HOYT RD
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:NH
Mailing Address - Zip Code:03240-3841
Mailing Address - Country:US
Mailing Address - Phone:603-523-9525
Mailing Address - Fax:
Practice Address - Street 1:31 HOYT RD
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:NH
Practice Address - Zip Code:03240-3841
Practice Address - Country:US
Practice Address - Phone:603-523-9525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT304078-3400175M00000X
NH1037176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No175M00000XOther Service ProvidersMidwife, Lay