Provider Demographics
NPI:1205655842
Name:NEWBORN NIRVANA, A NURSING CORPORATION
Entity type:Organization
Organization Name:NEWBORN NIRVANA, A NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ORLOFF
Authorized Official - Suffix:
Authorized Official - Credentials:BC-FNP, IBCLC
Authorized Official - Phone:415-279-6978
Mailing Address - Street 1:6429 SHELTERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-1601
Mailing Address - Country:US
Mailing Address - Phone:415-279-6978
Mailing Address - Fax:
Practice Address - Street 1:6429 SHELTERWOOD DR
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-1601
Practice Address - Country:US
Practice Address - Phone:415-279-6978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty