Provider Demographics
NPI:1508308230
Name:NEVADA COUNTY HOME BIRTH
Entity Type:Organization
Organization Name:NEVADA COUNTY HOME BIRTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:ARIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:530-477-1154
Mailing Address - Street 1:PO BOX 453
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-0453
Mailing Address - Country:US
Mailing Address - Phone:530-477-1154
Mailing Address - Fax:619-924-7165
Practice Address - Street 1:13267 GRUNT HILL RD
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-9474
Practice Address - Country:US
Practice Address - Phone:530-477-1154
Practice Address - Fax:619-924-7165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-11
Last Update Date:2016-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM445176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty