Provider Demographics
NPI:1003084245
Name:O'BRIEN, NANCY ANN (CNM)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ANN
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:ROHNERT PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94928-2934
Mailing Address - Country:US
Mailing Address - Phone:707-584-3528
Mailing Address - Fax:707-584-3924
Practice Address - Street 1:1370 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ROHNERT PARK
Practice Address - State:CA
Practice Address - Zip Code:94928-2934
Practice Address - Country:US
Practice Address - Phone:707-584-3528
Practice Address - Fax:707-584-3924
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANMW 1327176B00000X
CANMW1327176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife