Provider Demographics
NPI:1437362555
Name:FREUND, MICHELLE ANNE (LICENSED MIDWIFE)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ANNE
Last Name:FREUND
Suffix:
Gender:F
Credentials:LICENSED MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 S HORNE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6406
Mailing Address - Country:US
Mailing Address - Phone:760-757-8650
Mailing Address - Fax:760-757-8650
Practice Address - Street 1:1904 S HORNE ST
Practice Address - Street 2:SUITE A
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6406
Practice Address - Country:US
Practice Address - Phone:760-757-8650
Practice Address - Fax:760-757-8650
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA246RP1900X
CALM26176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy