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NPI Code Detail

MEDICARE: MRS. SAGE BEARMAN CNM, WHNP

MEDICARE: MRS. SAGE BEARMAN CNM, WHNP
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 Practitioner95001641CA
2367A00000XAdvanced Practice Midwife235699CA

General Provider Information

NPI Number : 1861880536
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SAGE BEARMAN CNM, WHNP
Provider Business Mailing Address
First Line : 1286 SANCHEZ ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94114-3833
Country : US
Telephone Number : 415-642-0333
Fax Number :
Provider Business Practice Location Address
First Line : 1286 SANCHEZ ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94114-3833
Country : US
Telephone Number : 415-642-0333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2015
Last Update Date : 01/05/2015

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