Provider Demographics
NPI:1417940438
Name:PERRY, MARIA ELIZABETH (CNM, RNC)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ELIZABETH
Last Name:PERRY
Suffix:
Gender:F
Credentials:CNM, RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4531 CARNABY CT
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-2879
Mailing Address - Country:US
Mailing Address - Phone:760-434-0141
Mailing Address - Fax:
Practice Address - Street 1:BLDG H100, SANTA MARGARITA ROAD
Practice Address - Street 2:ATTENTION: CODE CS-PA
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055
Practice Address - Country:US
Practice Address - Phone:760-725-0681
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife