Healthcare Provider Details

I. General information

NPI: 1962011841
Provider Name (Legal Business Name): MICHAELA BYRNE CNM, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2020
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 VAN NESS AVE
SAN FRANCISCO CA
94109-6978
US

IV. Provider business mailing address

PO BOX 276950
SACRAMENTO CA
95827-6950
US

V. Phone/Fax

Practice location:
  • Phone: 415-750-7050
  • Fax: 415-369-1389
Mailing address:
  • Phone: 415-750-7050
  • Fax: 715-369-1389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236517
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: