Healthcare Provider Details

I. General information

NPI: 1578448486
Provider Name (Legal Business Name): NOURISHING NEWBORNS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 E MAIN ST # A
QUINCY CA
95971-9667
US

IV. Provider business mailing address

PO BOX 231
QUINCY CA
95971-0231
US

V. Phone/Fax

Practice location:
  • Phone: 530-616-8448
  • Fax:
Mailing address:
  • Phone: 530-616-8448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDRA Y HUNT
Title or Position: CFO, INDEPENDENT CONTRACTOR
Credential: MD
Phone: 530-616-8448