Provider Demographics
NPI:1174991749
Name:LOUDOUN HOMEBIRTH & HEALTHCARE
Entity type:Organization
Organization Name:LOUDOUN HOMEBIRTH & HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BIESECKER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:540-336-0310
Mailing Address - Street 1:37912 ALBERTS FARM DR
Mailing Address - Street 2:
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20132-3429
Mailing Address - Country:US
Mailing Address - Phone:540-336-0310
Mailing Address - Fax:
Practice Address - Street 1:37912 ALBERTS FARM DR
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-3429
Practice Address - Country:US
Practice Address - Phone:540-336-0310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-12
Last Update Date:2015-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC001440367A00000X
DCRN1036416367A00000X
VA0024172120367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty