Individual
JUDY DOWD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1661 A SOQUEL DR, SANTA CRUZ, CA 95065
(831) 476-7676
(831) 476-4824
Mailing address
14415 W PARK AVE, BOULDER CREEK, CA 95006-9305
(831) 338-6926
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
446938
CA
367A00000X
Advanced Practice Midwife
446938
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G358690
—
CA
01
—
446938
LIC NO
—
Enumeration date
02/01/2007
Last updated
11/01/2011
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