Provider Demographics
NPI:1336205491
Name:MACPHERSON, LIANE ELIZABETH (CNM, RN)
Entity Type:Individual
Prefix:MRS
First Name:LIANE
Middle Name:ELIZABETH
Last Name:MACPHERSON
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Gender:F
Credentials:CNM, RN
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Mailing Address - Street 1:250 BON AIR RD
Mailing Address - Street 2:
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-1702
Mailing Address - Country:US
Mailing Address - Phone:512-468-8237
Mailing Address - Fax:512-994-2660
Practice Address - Street 1:12174 N MOPAC EXPY
Practice Address - Street 2:STE. A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2910
Practice Address - Country:US
Practice Address - Phone:512-468-8237
Practice Address - Fax:512-994-2660
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2020-08-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA236121367A00000X
TX557610176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife