Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 640 | CA |
NPI | 1134887466 |
---|---|
Provider Name | Chelsea Briana Bryan |
First Address | Nevada City, CA 95959-3604 |
Second Address | Nevada City, CA 95959-3604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2021 |
Last Update Date | 03/12/2021 |