Healthcare Provider Details

I. General information

NPI: 1811587819
Provider Name (Legal Business Name): EBONY ALEXIS MCGILBRA ESPIRITU RN, CNM, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2021
Last Update Date: 01/22/2021
Certification Date: 01/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 SUTTER ST STE 301
SAN FRANCISCO CA
94115-3029
US

IV. Provider business mailing address

2300 SUTTER ST
SAN FRANCISCO CA
94115-3037
US

V. Phone/Fax

Practice location:
  • Phone: 415-480-0848
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236134
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: