Individual
TINA MARIE EGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
918 W FOOTHILL BLVD STE A, UPLAND, CA 91786-3772
(909) 890-5511
Mailing address
918 W FOOTHILL BLVD, UPLAND, CA 91786-3772
(909) 890-5511
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
CNM406
MN
367A00000X
Advanced Practice Midwife
Primary
NMW236129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266540
—
CA
Enumeration date
09/17/2019
Last updated
06/24/2024
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