Individual provider · NPI-1

Madeline Carol Anderson, CNM

Advanced Practice Midwife · Sacramento, CA

NPI number1790394591
StatusActive
Last updated in NPPESJul 28, 2020

Details

NPI
1790394591
Entity type
Individual (NPI-1)
Name
Madeline Carol Anderson
Credential
CNM
Sex
Female
Sole proprietor
No
Enumeration date
Jul 28, 2020
Certification date
Jul 28, 2020
Last updated
Jul 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367A00000X Advanced Practice MidwifeCNM06163–Yes

Practice location

2025 P St
Sacramento, CA 95811-5213

Phone 916-936-2229

Mailing address

2025 P St
Sacramento, CA 95811-5213

Phone 916-936-2229

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