Organization
WHBC MIDWIVES, INC., A NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELAINE NYDAM R.N., C.N.M. (PRESIDENT)
(707) 539-1544
Entity
Organization
Contact information
Practice address
583 SUMMERFIELD RD, SANTA ROSA, CA 95405-5239
(707) 539-1544
Mailing address
583 SUMMERFIELD RD, SANTA ROSA, CA 95405-5239
(707) 539-1544
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
3306897
CA
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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