Provider Demographics
NPI:1578246724
Name:COOKSEY, SABRINA MARIE (CPM, LM)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:MARIE
Last Name:COOKSEY
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:MARIE
Other - Last Name:STEDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1881 BUSINESS CENTER DR STE 8A
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3448
Mailing Address - Country:US
Mailing Address - Phone:909-567-2165
Mailing Address - Fax:
Practice Address - Street 1:1881 BUSINESS CENTER DR STE 8A
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3448
Practice Address - Country:US
Practice Address - Phone:909-567-2165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA720176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife