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NPI Code Detail

MEDICARE: MRS. SHARYN IRIS GINSBERG NP, CNM

MEDICARE: MRS. SHARYN IRIS GINSBERG NP, 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
1363LW0102XWomen's Health Nurse Practitioner288949CA

General Provider Information

NPI Number : 1396715538
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARYN IRIS GINSBERG NP, CNM
Provider Business Mailing Address
First Line : 1425 S MAIN ST
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94596-5318
Country : US
Telephone Number : 925-295-6261
Fax Number : 925-295-4883
Provider Business Practice Location Address
First Line : 1425 S MAIN ST
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94596-5318
Country : US
Telephone Number : 925-295-6261
Fax Number : 925-295-4883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 07/09/2007

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