Individual
MARY NEWBERRY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1260 S ELISEO DR, FLOOR 2, GREENBRAE, CA 94904-2009
(415) 924-1214
(415) 924-1375
Mailing address
9 COMMERCIAL BLVD, SUITE 200, NOVATO, CA 94949-6118
(415) 842-5000
(415) 842-5163
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW1505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NMW1505
MEDICAL LICENSE
CA
Enumeration date
10/08/2008
Last updated
11/15/2018
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