Provider Demographics
NPI:1801096300
Name:FERRONI, ANDREA CHRISTINE (LM, CPM)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:CHRISTINE
Last Name:FERRONI
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 N WASHINGTON ST STE E
Mailing Address - Street 2:
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370-5651
Mailing Address - Country:US
Mailing Address - Phone:209-770-1988
Mailing Address - Fax:209-391-1648
Practice Address - Street 1:171 N WASHINGTON ST STE E
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-5651
Practice Address - Country:US
Practice Address - Phone:209-770-1988
Practice Address - Fax:209-391-1648
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM147176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife