Provider Demographics
NPI:1356732143
Name:SB MIDWIFERY
Entity type:Organization
Organization Name:SB MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE MIDWIFE
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BUNTING
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:805-886-7015
Mailing Address - Street 1:2958 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3418
Mailing Address - Country:US
Mailing Address - Phone:805-770-3700
Mailing Address - Fax:
Practice Address - Street 1:2958 STATE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3418
Practice Address - Country:US
Practice Address - Phone:805-770-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-15
Last Update Date:2015-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACAMW#711367A00000X
CACALM#296367A00000X
CACAMW#822367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty