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Contact Information

CAROL BRYAN, CNM NP PP
1672 CHURCH AVE
MCKINLEYVILLE, CA95519-2504
 Phone: 530-625-4349
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Women's Health Care, Ambulatory

163WW0101X
Indicates primary specialty

NPI Profile & details for CAROL BRYAN · (Female)

NPI # 1558437608
Status Active
Credentials CNM NP PP
Entity Individual
Enumeration date 11/28/2006
Last updated 10/11/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 447699
  • CA License # NMW1244
  • MA License # 279942
  • OR License # 200150068NP
  • OR License # 200510068NP
  • OR Medicaid 000853
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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