Provider Demographics
NPI:1568876761
Name:WEISS, HANNAH (LM, CPM)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:WEISS
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6323 VALLEY VIEW RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-1226
Mailing Address - Country:US
Mailing Address - Phone:510-685-6703
Mailing Address - Fax:
Practice Address - Street 1:6323 VALLEY VIEW RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-1226
Practice Address - Country:US
Practice Address - Phone:510-685-6703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM393176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife