Provider Demographics
NPI:1376114504
Name:BARNATO, BRIGETTE (CPM)
Entity Type:Individual
Prefix:
First Name:BRIGETTE
Middle Name:
Last Name:BARNATO
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 FRANCIS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANSELMO
Mailing Address - State:CA
Mailing Address - Zip Code:94960-2260
Mailing Address - Country:US
Mailing Address - Phone:415-847-7001
Mailing Address - Fax:
Practice Address - Street 1:118 FRANCIS AVE
Practice Address - Street 2:
Practice Address - City:SAN ANSELMO
Practice Address - State:CA
Practice Address - Zip Code:94960-2260
Practice Address - Country:US
Practice Address - Phone:415-847-7001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21060007175M00000X, 176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No175M00000XOther Service ProvidersMidwife, Lay