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Organization
PARADISE MIDWIFERY SERVICES
Active
Organization
PARADISE MIDWIFERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY MACNEILL (OFFICE MANAGER)
(530) 872-7579
Entity
Organization
Contact information
Practice address
771 BUSCHMANN RD, SUITE H, PARADISE, CA 95969-5848
(530) 872-7579
(530) 872-5645
Mailing address
771 BUSCHMANN RD, SUITE H, PARADISE, CA 95969-5848
(530) 872-7579
(530) 872-5645
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GNMW00010
—
CA
Enumeration date
07/07/2006
Last updated
07/21/2022
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