Organization
MIDWIFERYWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA A JOHNSON CNM (CERTIFIED NURSE MIDWIFE)
(510) 644-0104
Entity
Organization
Contact information
Practice address
3010 COLBY ST STE 210, BERKELEY, CA 94705-2059
(510) 644-0104
Mailing address
2323 WARD ST, BERKELEY, CA 94705-1110
(510) 644-0104
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7550813
—
CA
Enumeration date
11/26/2016
Last updated
11/26/2016
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