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Contact Information

MARY BARACCO, CNM NP
31 EASTER AVE
WEAVERVILLE, CA96093-0000
 Phone: 530-623-4186
 Fax: 530-623-4397
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MARY BARACCO · (Female)

NPI # 1255429528
Status Active
Credentials CNM NP
Entity Individual
Enumeration date 10/11/2006
Last updated 09/08/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 1211
  • CA License # 490245
  • CA License # 8853
  • CA Medicaid GR0081500
  • CA Other GR0081501 MEDICAL
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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