Healthcare Provider Details

I. General information

NPI: 1760445142
Provider Name (Legal Business Name): MARGARET BAKER DOWNING CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 E BARSTOW AVE 108
FRESNO CA
93710-6039
US

IV. Provider business mailing address

1122 S ST 102
FRESNO CA
93721-1430
US

V. Phone/Fax

Practice location:
  • Phone: 559-224-0900
  • Fax: 559-224-9009
Mailing address:
  • Phone: 559-495-3120
  • Fax: 559-495-3134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number127
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: