Provider Demographics
NPI:1760518039
Name:OBGYN ASSOCIATES OF CHICO NURSE MIDWIFERY SERVICES
Entity Type:Organization
Organization Name:OBGYN ASSOCIATES OF CHICO NURSE MIDWIFERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:TINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-345-4471
Mailing Address - Street 1:1617 ESPLANADE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926
Mailing Address - Country:US
Mailing Address - Phone:530-345-4471
Mailing Address - Fax:530-345-4496
Practice Address - Street 1:1617 ESPLANADE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926
Practice Address - Country:US
Practice Address - Phone:530-345-4471
Practice Address - Fax:530-345-4496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA541303163W00000X
CACNM1680367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Not Answered367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty