Provider Demographics
NPI:1275358988
Name:HATFIELD-BEDDOW, KARILYNN (LM, CPM)
Entity type:Individual
Prefix:MRS
First Name:KARILYNN
Middle Name:
Last Name:HATFIELD-BEDDOW
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:MRS
Other - First Name:KARI
Other - Middle Name:
Other - Last Name:BEDDOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LM, CPM
Mailing Address - Street 1:3532 STANDISH CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-2962
Mailing Address - Country:US
Mailing Address - Phone:831-718-7957
Mailing Address - Fax:
Practice Address - Street 1:3532 STANDISH CT
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-2962
Practice Address - Country:US
Practice Address - Phone:831-718-7957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM751176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife