Provider Demographics
NPI:1851860001
Name:MIDTOWN NURSE MIDWIVES A NURSING CORPORATION
Entity Type:Organization
Organization Name:MIDTOWN NURSE MIDWIVES A NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / NURSE MIDWIFE
Authorized Official - Prefix:MS
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:CERTA
Authorized Official - Last Name:SASAKI
Authorized Official - Suffix:
Authorized Official - Credentials:NP, CNM
Authorized Official - Phone:916-936-2229
Mailing Address - Street 1:2025 P ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-5213
Mailing Address - Country:US
Mailing Address - Phone:916-936-2229
Mailing Address - Fax:916-307-4622
Practice Address - Street 1:2025 P ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-5213
Practice Address - Country:US
Practice Address - Phone:916-936-2229
Practice Address - Fax:916-307-4626
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIDTOWN NURSE MIDWIVES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing