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NPI Code Detail

MEDICARE: MS. ELEANOR PATRICIA STEWART-GARBRECHT CNM

MEDICARE: MS. ELEANOR PATRICIA STEWART-GARBRECHT CNM
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
1367A00000XAdvanced Practice Midwife161421NC
2367A00000XAdvanced Practice Midwife235662CA

General Provider Information

NPI Number : 1245210855
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELEANOR PATRICIA STEWART-GARBRECHT CNM
Provider Business Mailing Address
First Line : 1432 SUNDANCE AVE
Second Line :
City : SAN MARCOS
State : CA
Zip : 92078-7999
Country : US
Telephone Number : 760-704-9251
Fax Number :
Provider Business Practice Location Address
First Line : 150 VALPREDA RD
Second Line :
City : SAN MARCOS
State : CA
Zip : 92069-2973
Country : US
Telephone Number : 760-736-6729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 01/28/2016

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