Healthcare Provider Details

I. General information

NPI: 1922912492
Provider Name (Legal Business Name): MISHAL THROWER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9913 PORTOFINO OAK LN
FAIR OAKS CA
95628-7436
US

IV. Provider business mailing address

9913 PORTOFINO OAK LN
FAIR OAKS CA
95628-7436
US

V. Phone/Fax

Practice location:
  • Phone: 916-707-6039
  • Fax:
Mailing address:
  • Phone: 916-707-6039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: