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NPI Code Detail

MEDICARE: MS. CORONA CALLISTO CNM

MEDICARE: MS. CORONA CALLISTO CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1176B00000XMidwife236621CA

General Provider Information

NPI Number : 1598612905
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CORONA CALLISTO CNM
Provider Business Mailing Address
First Line : 2767 OLIVE HWY
Second Line :
City : OROVILLE
State : CA
Zip : 95966-6118
Country : US
Telephone Number : 530-533-8500
Fax Number :
Provider Business Practice Location Address
First Line : 2767 OLIVE HWY
Second Line :
City : OROVILLE
State : CA
Zip : 95966-6118
Country : US
Telephone Number : 530-533-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2026
Last Update Date : 03/13/2026

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Directions to “ MS. CORONA CALLISTO CNM” Practice Location

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