Healthcare Provider Details

I. General information

NPI: 1316717762
Provider Name (Legal Business Name): SILICON VALLEY MIDWIVES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 01/08/2024
Certification Date: 01/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 S WINCHESTER BLVD STE M257
SAN JOSE CA
95128-3904
US

IV. Provider business mailing address

1101 S WINCHESTER BLVD STE M257
SAN JOSE CA
95128-3904
US

V. Phone/Fax

Practice location:
  • Phone: 408-454-8556
  • Fax: 415-592-7027
Mailing address:
  • Phone: 408-454-8556
  • Fax: 415-592-7027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: CHARLETTE ANN BRIGHT
Title or Position: MIDWIFE
Credential: LM
Phone: 209-495-7799