| Nicoya Noel Pucci, CNM | |
|
2185 Pacheco St, Concord, CA 94520-2309 | |
| (925) 676-0300 | |
| Not Available |
| Full Name | Nicoya Noel Pucci |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 2185 Pacheco St, Concord, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841916145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 236317 (California) | Primary |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1023420726 PECOS PAC ID: 9739092388 Enrollment ID: O20141203002585 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicoya Noel Pucci, CNM 2185 Pacheco St, Concord, CA 94520-2309 Ph: (925) 676-0300 | Nicoya Noel Pucci, CNM 2185 Pacheco St, Concord, CA 94520-2309 Ph: (925) 676-0300 |
Madeline Spahr, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2185 Pacheco St, Concord, CA 94520 Phone: 925-676-0300 | |
Jennifer Ellen Scafidi, NM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2185 Pacheco St, Concord, CA 94520 Phone: 925-676-0505 Fax: 925-676-2814 | |
Eliza Claire Miller Harper, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2185 Pacheco St, Concord, CA 94520 Phone: 925-676-0505 | |
Ms. Ellen Pennell Hagedorn, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2185 Pacheco St, Concord, CA 94520 Phone: 925-676-0505 |