Individual
MRS. ANNETTE LOUISE MCCONNAUGHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
18035 BROOKHURST STREET, SUITE 2100, FOUNTAIN VALLEY, CA 92708
(657) 241-9090
Mailing address
17360 BROOKHURST ST, ATTN: CREDENTIALING DEPARTMENT, FOUNTAIN VALLEY, CA 92708-3720
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
264527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002645270
MEDI CAL
CA
01
—
NMW005540
MEDICAL
CA
Enumeration date
07/01/2005
Last updated
10/19/2016
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