# MADELEINE SHERNOCK CORP.

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

## Provider details

- **NPI number:** 1871145425
- **Authorized official:** MADELEINE JUSTINE WISNER LM (LICENSED MIDWIFE)
- **Authorized official phone:** (916) 668-9467

## Contact information

- **Practice address:** 4500 47TH AVE STE 5, SACRAMENTO, CA 95824-3848
- **Practice address phone:** (916) 668-9467
- **Practice address fax:** (209) 336-6814
- **Mailing address:** 4500 47TH AVE STE 5, SACRAMENTO, CA 95824-3848
- **Mailing address phone:** (916) 668-9467
- **Mailing address fax:** (209) 336-6814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | Yes |
| 176B00000X | Midwife | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2019
- **Last updated:** 02/09/2020