Individual
TRACY FAIRBANKS OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(952) 967-7619
(651) 602-7517
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
10013604
OR
367A00000X
Advanced Practice Midwife
Primary
121
MN
Other
Enumeration date
10/18/2012
Last updated
11/26/2024
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