Angel Nashae Street, | |
3075 Adeline St Ste 270, Berkeley, CA 94703-2580 | |
(510) 204-5600 | |
Not Available |
Full Name | Angel Nashae Street |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 3075 Adeline St Ste 270, Berkeley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326796327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 31327 (Tennessee) | Secondary |
367A00000X | Advanced Practice Midwife | NM236513 (California) | Primary |
Entity Name | Mt Auburn Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374 |
Mailing Address | Practice Location Address |
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Angel Nashae Street, 1203 Poplar Ave, Memphis, TN 38104-7241 Ph: () - | Angel Nashae Street, 3075 Adeline St Ste 270, Berkeley, CA 94703-2580 Ph: (510) 204-5600 |
Eva L. Goodfriend-reano, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2216 Mcgee Ave, Berkeley, CA 94703 Phone: 510-848-1352 Fax: 510-323-2361 | |
Aimee Tom, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3010 Colby St, Berkeley, CA 94705 Phone: 510-882-2137 | |
Ms. Sallie Peters Hill, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-3977 Fax: 510-204-5429 | |
Ms. Lauren L. Galaty, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2001 Dwight Way, Berkeley Primary Care, Room 1363, Berkeley, CA 94704 Phone: 510-204-4637 | |
Kassandra Marie Donnels, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-4444 | |
Kristen Park, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2404 Dana St, Apt B, Berkeley, CA 94704 Phone: 408-636-8431 | |
Mrs. Lior Mayer, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-3977 Fax: 510-204-5129 |