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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY BARACCO, CNM NP

Active

MARY BARACCO, CNM NP is a Advanced Practice Midwife healthcare provider located in WEAVERVILLE, California. NPI 1255429528 is currently active in the NPPES registry. Verify at CMS.

Advanced Practice Midwife · WEAVERVILLE, CA

Registration Details

NPI Number
1255429528
Provider Type
Individual
Gender
Female
NPI Issued
Oct 11, 2006 (19.879411335072 yrs)
Last Updated
Sep 8, 2016
Licenses
490245 (CA)
8853 (CA)
1211 (CA)

Practice Information

Address
31 EASTER AVE
WEAVERVILLE, CA, 960930000
Browse CA providers · Browse ZIP 96093
Phone
5306234186
Fax
5306234397
Primary Specialty
Advanced Practice Midwife
367A00000X
Additional Specialty
Nurse Practitioner
Additional Specialty
Advanced Practice Midwife
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.