Provider Demographics
NPI:1275020653
Name:DONEGAN, TRACY (MIDWIFE)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:
Last Name:DONEGAN
Suffix:
Gender:F
Credentials:MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 WHISMAN PARK DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-5269
Mailing Address - Country:US
Mailing Address - Phone:650-450-2770
Mailing Address - Fax:
Practice Address - Street 1:462 WHISMAN PARK DRIVE
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-9404
Practice Address - Country:US
Practice Address - Phone:650-450-2770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula