MEDICARE: JAYNE DANSKY OSEGUEDA NMW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	1394	CA

General Provider Information

NPI Number	:	1134139546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYNE DANSKY OSEGUEDA NMW

Provider Business Mailing Address
First Line	:	34800 BOB WILSON DR STE 3
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92134-1003
Country	:	US
Telephone Number	:	619-532-7082
Fax Number	:

Provider Business Practice Location Address
First Line	:	34800 BOB WILSON DR FL 1
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92134-6720
Country	:	US
Telephone Number	:	619-532-7082
Fax Number	:	619-532-6587

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	02/06/2024

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