Vanessa Ann Nicolas CNM, RN

NPI 1053484428 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1053484428
Gender Female
Enumeration Date 11/15/2006
Last Updated 07/08/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1379 W PARK WESTERN DR
#262
SAN PEDRO CA, 90732-2300, US
Phone (310) 403-4415
Fax
Business Location
1379 W PARK WESTERN DR
#262
SAN PEDRO CA, 90732-2300, US
Phone
Fax
Toxanomy
Taxonomy Code 367A00000X
License State California
License Number 724
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According to our database, Mrs. Vanessa Ann Nicolas CNM, RN NPI is 1053484428, taxonomy code is 367A00000X and license number is 724, license state is located at California. Vanessa Ann Nicolas CNM, RN physically located at 1379 W Park Western Dr, San Pedro CA, 90732-2300. NPI Number Vanessa Ann Nicolas CNM, RN has the Individual type.

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1053484428 NPI number is provided on an as is basis without warranty of any kind. 1053484428 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Ann Nicolas CNM, RN are for informational purposes only.