Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | NMW 1327 | CA |
N | 176B00000X | Midwife | NMW1327 | CA |
NPI | 1003084245 |
---|---|
Provider Name | Ms. Nancy Ann O'brien |
First Address | Rohnert Park, CA 94928-2934 |
Second Address | Rohnert Park, CA 94928-2934 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2008 |
Last Update Date | 11/02/2008 |