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NPI 1659563864

NPI 1659563864 : JOAN MARIE PARTRIDGE RN, CNM, WHCNP : RIVERSIDE, CA

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General NPI Number Information
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    NPI Number           |    1659563864
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    Entity Type          |    Individual 
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    Provider Name        |    JOAN MARIE PARTRIDGE RN, CNM, WHCNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/11/2007
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    Last Update Date     |    12/05/2021
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Provider Practice Location Address
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    Address Line         |    10800 MAGNOLIA AVE 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92505-3043
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    Country              |    US
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    Telephone            |    866-984-7483
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1295 STILLWATER RD 
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    City                 |    CORONA
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    State                |    CA
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    Zip                  |    92882-5843
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    Country              |    US
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    Telephone            |    951-735-7646
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    367A00000X
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    Taxonomy Name        |    Advanced Practice Midwife
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    License Number       |    1749
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    163WM0102X
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    Taxonomy Name        |    Maternal Newborn Registered Nurse
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    License Number       |    RN450366
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    163WX0003X
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    Taxonomy Name        |    Inpatient Obstetric Registered Nurse
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    License Number       |    RN450366
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    17065
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    License Number State |    CA
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