# PARADISE MIDWIFERY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679505127
- **Authorized official:** PEGGY MACNEILL (OFFICE MANAGER)
- **Authorized official phone:** (530) 872-7579

## Contact information

- **Practice address:** 771 BUSCHMANN RD, SUITE H, PARADISE, CA 95969-5848
- **Practice address phone:** (530) 872-7579
- **Practice address fax:** (530) 872-5645
- **Mailing address:** 771 BUSCHMANN RD, SUITE H, PARADISE, CA 95969-5848
- **Mailing address phone:** (530) 872-7579
- **Mailing address fax:** (530) 872-5645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | CA | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GNMW00010 | — | CA |