Provider Demographics
NPI:1003432956
Name:MALDONADO, NANCY (RN, CNM, WHNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:MALDONADO
Suffix:
Gender:F
Credentials:RN, CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 HARTFORD ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-4809
Mailing Address - Country:US
Mailing Address - Phone:831-905-5927
Mailing Address - Fax:
Practice Address - Street 1:1831 HARTFORD ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-4809
Practice Address - Country:US
Practice Address - Phone:831-905-5927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-17
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANMW236042367A00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
No374J00000XNursing Service Related ProvidersDoula