Healthcare Provider Details

I. General information

NPI: 1730362344
Provider Name (Legal Business Name): BRITA STONE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITA POPMA CNM

II. Dates (important events)

Enumeration Date: 12/06/2007
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2029 VILLAGE LN STE 200
SOLVANG CA
93463-2258
US

IV. Provider business mailing address

2029 VILLAGE LN STE 200
SOLVANG CA
93463-2258
US

V. Phone/Fax

Practice location:
  • Phone: 805-500-8056
  • Fax:
Mailing address:
  • Phone: 805-500-8056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1806
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: