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Contact Information

MARY BETH CANAVAN, CNM
1030 INTERNATIONAL BLVD
OAKLAND, CA94606-3730
 Phone: 510-238-5400
 Fax: 510-238-5437
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for MARY BETH CANAVAN · (Female)

NPI Number 1326148677
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 09/25/2006
Last updated 08/03/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CA License # NMW1440
  • CA Medicaid FHC11991F
  • CA Other HAP11991F FPACT
  • CA Other 05-1822 FQHC MEDICARE PART A
  • CA Other ZZZ79046Z FQHC MEDICARE PART B
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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