Healthcare Provider Details

I. General information

NPI: 1437362555
Provider Name (Legal Business Name): MICHELLE ANNE FREUND LICENSED MIDWIFE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 12/14/2022
Certification Date: 12/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1904 S HORNE ST SUITE A
OCEANSIDE CA
92054-6406
US

IV. Provider business mailing address

1904 S HORNE ST SUITE A
OCEANSIDE CA
92054-6406
US

V. Phone/Fax

Practice location:
  • Phone: 760-757-8650
  • Fax: 760-757-8650
Mailing address:
  • Phone: 760-757-8650
  • Fax: 760-757-8650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLM26
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: